Organization
MARBLEJAM KIDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA FILOMENA VILLA-BAGER (PRESIDENT/ EXEC. DIRECTOR)
(201) 497-6512
Entity
Organization
Contact information
Practice address
214 STATE STREET, SUITE 204, HACKENSACK, NJ 07601
(201) 497-6512
(201) 942-4450
Mailing address
214 STATE STREET, SUITE 204, HACKENSACK, NJ 07601
(201) 497-6512
(201) 942-4450
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100982978
STATE BUSINESS IDENTIFICATION NUMBER
NJ
Enumeration date
12/12/2013
Last updated
06/21/2018
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