Organization
REAL HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JENNINGS (CEO)
(973) 746-2400
Entity
Organization
Contact information
Practice address
95 GROVE ST, MONTCLAIR, NJ 07042-4005
(973) 746-2400
(973) 746-8551
Mailing address
95 GROVE ST, MONTCLAIR, NJ 07042-4005
(973) 746-2400
(973) 746-8551
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2000081
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080977
—
NJ
Enumeration date
04/03/2009
Last updated
04/03/2009
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