Organization
GODDARD ESSENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT S GIPLE (MEMBER)
(609) 516-6249
Entity
Organization
Contact information
Practice address
199 ATLANTIC AVE, TRENTON, NJ 08609-1705
(609) 610-0542
Mailing address
4 QUINCY MANOR LN, BURLINGTON, NJ 08016-5116
(609) 516-6249
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/12/2021
Last updated
04/05/2022
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