Organization
K & J MENDING HEARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MORRISON (ASST DIR)
(862) 215-9063
Entity
Organization
Contact information
Practice address
235 RALPH ST, BELLEVILLE, NJ 07109-3215
(862) 501-8501
Mailing address
14 YATES AVE, NEWARK, NJ 07112-1638
(862) 215-9063
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/29/2023
Last updated
11/18/2024
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