Organization
LIVING OUT LOUD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEANNA PEREZ (PRESIDENT)
(347) 751-2806
Entity
Organization
Contact information
Practice address
14M READING RD, EDISON, NJ 08817-2183
(347) 751-2806
Mailing address
14M READING RD, EDISON, NJ 08817-2183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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