Organization
THE FELICIAN SCHOOL 21 AND OVER PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE SMIGLEWSKI (EXECUTIVE DIRECTOR)
(973) 777-5355
Entity
Organization
Contact information
Practice address
460 PASSAIC AVE, LODI, NJ 07644
(862) 225-9081
(973) 777-0725
Mailing address
260 SOUTH MAIN ST, LODI, NJ 07644-2117
(862) 225-9081
(973) 777-0725
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0509965
—
NJ
Enumeration date
02/06/2013
Last updated
03/27/2024
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