Organization
APPROPRIATE BASIC COMMUNITY DEVELOPMENT.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY KERONCHE OMBICHA (EXECUTIVE DIRECTOR)
(551) 358-1308
Entity
Organization
Contact information
Practice address
90 ANDREW ST APT 3, BAYONNE, NJ 07002-2655
(551) 358-1308
Mailing address
90 ANDREW ST APT 3, BAYONNE, NJ 07002-2655
(551) 358-1308
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/08/2018
Last updated
04/10/2018
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