Organization
PRIME SUPPORTS & CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKINWOLE FELLIX ALEWI (PRESIDENT)
(917) 455-5732
Entity
Organization
Contact information
Practice address
9107 SUMMIT WAY, WATCHUNG, NJ 07069-7401
(917) 455-5732
Mailing address
9107 SUMMIT WAY, WATCHUNG, NJ 07069-7401
(917) 455-5732
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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