Organization
LAKE-NET SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA A OTIENO (OPERATIONS DIRECTOR)
(845) 536-3979
Entity
Organization
Contact information
Practice address
554 RACHEL DR, FRANKLINVILLE, NJ 08322-3694
(845) 536-3979
Mailing address
554 RACHEL DR, FRANKLINVILLE, NJ 08322-3694
(845) 536-3979
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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