Organization
FERNANDEZ PLACE SUPPORTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUJEIRE BILBAO (MEMBER)
(800) 862-7194
Entity
Organization
Contact information
Practice address
200 ROSA PARKS BLVD FL AVENUE1, PATERSON, NJ 07501-1357
(800) 862-7194
Mailing address
212 W TROY ST STE B, DOTHAN, AL 36303-4455
(973) 703-3641
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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