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Keisha L Harris
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Swedesboro, New Jersey
NPI 1053172817

Keisha L Harris is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Swedesboro, NJ. Keisha L Harris practices in Swedesboro, NJ. The NPI Number for Keisha L Harris is 1053172817 and holds a License No. (New Jersey).

The current practice location address for Keisha L Harris is 301 New Castle Ln, Swedesboro, NJ and can be reached out via phone at 908-698-9539.

Location: 301 New Castle Ln, Swedesboro, NJ, 08085-1466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053172817
Provider Name
Keisha L Harris
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 New Castle Ln, Swedesboro, NJ, 08085-1466
Phone Number
908-698-9539
Fax Number
Provider Enumeration Date
01/18/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 New Castle Ln
City
Swedesboro
State
New Jersey
Zip
08085-1466
Phone Number
908-698-9539
Fax Number
person
Provider Business Mailing Address Details
Address
301 New Castle Ln
City
Swedesboro
State
New Jersey
Zip
08085-1466
Phone Number
908-698-9539
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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