Organization
CE FAIR GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARMAINE EDWIN (CEO)
(201) 212-3529
Entity
Organization
Contact information
Practice address
4-09 PLAZA RD, FAIR LAWN, NJ 07410-3842
(201) 212-3529
Mailing address
4-09 PLAZA RD, FAIR LAWN, NJ 07410-3842
(201) 212-3529
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450316148
—
NJ
Enumeration date
07/28/2020
Last updated
07/28/2020
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