Organization
BROADWAY RESPITE AND HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK PATTON (COO)
(201) 703-3980
Entity
Organization
Contact information
Practice address
16 GUNTHER AVE, LODI, NJ 07644-2015
(201) 703-3980
(201) 703-3984
Mailing address
17-17 BROADWAY, FAIR LAWN, NJ 07410-2055
(201) 703-3980
(201) 703-3984
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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