Organization
SPECIAL HOMES OF NEW JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE MCKEON (EXECUTIVE DIRECTOR)
(973) 886-1953
Entity
Organization
Contact information
Practice address
202 CENTRAL AVE, HACKENSACK, NJ 07601-3439
(973) 886-1953
Mailing address
202 CENTRAL AVE, HACKENSACK, NJ 07601-3439
(973) 886-1953
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639500796
—
NJ
Enumeration date
08/28/2017
Last updated
07/21/2022
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