Organization
GREATER INCLUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYIOMI ROBERTS (CEO)
(551) 280-3896
Entity
Organization
Contact information
Practice address
979 CLINTON AVE APT 1B, IRVINGTON, NJ 07111-4203
(551) 280-3896
Mailing address
979 CLINTON AVE APT 1B, IRVINGTON, NJ 07111-4203
(551) 280-3896
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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