Organization
NEW HORIZONS ADULT SUPPORTIVE SERVICES & CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILIA E FUSTER (PRESIDENT)
(732) 801-8938
Entity
Organization
Contact information
Practice address
712 NEWARK AVE, ELIZABETH, NJ 07208-3540
(908) 353-3530
(908) 353-3529
Mailing address
712 NEWARK AVE, ELIZABETH, NJ 07208-3540
(908) 353-3530
(908) 353-3529
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450465603
NJ 10-DIGIT ID
NJ
Enumeration date
03/12/2020
Last updated
03/12/2020
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