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Organization

MELODY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FOLASADE OGUNTOLA NP, APN (CEO)
(201) 283-0856
Entity
Organization

Contact information

Practice address
85 PARK TER, WEST ORANGE, NJ 07052-5716
(201) 283-0856
Mailing address
404 RIO GRANDE DR, TOMS RIVER, NJ 08755-6395
(201) 283-0856

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
02/13/2024
Last updated
04/28/2024
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