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Organization

DUNGARVIN NEW JERSEY, LLC - STOCKTON

Active
Parent organization
DUNGARVIN GROUP, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
DUNGARVIN GROUP, INC.
Authorized official
LORI KRESS (CEO)
(651) 699-0206
Entity
Organization

Contact information

Practice address
18 STOCKTON RD, KENDALL PARK, NJ 08824-1212
(732) 463-7227
Mailing address
1543 STATE ROUTE 27 STE 24, SOMERSET, NJ 08873-4015
(732) 463-7227

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0494275
NJ
Enumeration date
08/30/2017
Last updated
04/27/2023
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