Organization
LIFE ENHANCEMENT SVCS., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK A CHIEFFE (PRESIDENT)
(973) 423-0311
Entity
Organization
Contact information
Practice address
128 LINCOLN AVE, FLOOR 1, HAWTHORNE, NJ 07506-1302
(973) 423-0311
(973) 423-0477
Mailing address
128 LINCOLN AVE, FLOOR 1, HAWTHORNE, NJ 07506-1302
(973) 423-0311
(973) 423-0477
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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