Organization
OUR HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DELCORSANO (PRESIDENT AND CEO)
(908) 464-8008
Entity
Organization
Contact information
Practice address
217 W. NORTHFIELD ROAD, LIVINGSTON, NJ 07039
(908) 464-8008
Mailing address
76 FLORAL AVE, NEW PROVIDENCE, NJ 07974-1511
(908) 464-8008
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479179
—
NJ
Enumeration date
06/08/2015
Last updated
01/24/2022
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