Organization
WALLYNZAVY'S AUTISTIC KIDS CAN DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TALEANA WILLIAMS-HURST (PRESIDENT/CEO)
(908) 753-7333
Entity
Organization
Contact information
Practice address
1010 PARK AVE STE 202, PLAINFIELD, NJ 07060-3024
(908) 753-7333
(908) 757-0581
Mailing address
62 DEKALB AVE, PLAINFIELD, NJ 07063-1020
(908) 753-7333
(908) 757-0581
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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