Organization
SOLDAN COMMUNITY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFE DICK DUVWAROVWO (CEO)
(908) 266-0626
Entity
Organization
Contact information
Practice address
1190 W SAINT GEORGES AVE APT B23, LINDEN, NJ 07036-6155
(908) 266-0626
(323) 386-0986
Mailing address
1190 W SAINT GEORGES AVE APT B23, LINDEN, NJ 07036-6155
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/28/2025
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