Organization
THE ELITE HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON ANTHONY (MEMBER)
(973) 375-9500
Entity
Organization
Contact information
Practice address
1032 CLINTON AVE, IRVINGTON, NJ 07111-3532
(973) 375-9500
Mailing address
1030 CLINTON AVE, IRVINGTON, NJ 07111-3532
(973) 375-9500
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0450035942
NJ
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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