Organization
BETHEL RIDGE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD G. HAYNES (TREASURER)
(908) 221-0801
Entity
Organization
Contact information
Practice address
175 S MAPLE AVE, BASKING RIDGE, NJ 07920-1280
(908) 221-0801
Mailing address
175 S MAPLE AVE, P.O. BOX138, BASKING RIDGE, NJ 07920-1280
(908) 221-0801
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
GH 957
NJ
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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