Organization
JESPY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUDREY WINKLER (EXECUTIVE DIRECTOR)
(973) 762-6909
Entity
Organization
Contact information
Practice address
102 PROSPECT ST, SOUTH ORANGE, NJ 07079-2112
(973) 762-6909
Mailing address
102 PROSPECT ST, SOUTH ORANGE, NJ 07079-2112
(973) 762-6909
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463787
—
NJ
Enumeration date
03/06/2017
Last updated
07/21/2022
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