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Tiffany Lecator
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pine Hill, New Jersey
NPI 1366840985

Tiffany Lecator is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Pine Hill, NJ. Tiffany Lecator practices in Pine Hill, NJ. The NPI Number for Tiffany Lecator is 1366840985 and holds a License No. (New Jersey).

The current practice location address for Tiffany Lecator is 828 Blackwood Clementon Rd Apt 104, Pine Hill, NJ and can be reached out via phone at 856-265-4928.

Location: 828 Blackwood Clementon Rd Apt 104, Pine Hill, NJ, 08021-6819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366840985
Provider Name
Tiffany Lecator
Credential
Provider Entity Type
Individual
Gender
Female
Address
828 Blackwood Clementon Rd Apt 104, Pine Hill, NJ, 08021-6819
Phone Number
856-265-4928
Fax Number
Provider Enumeration Date
12/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
828 Blackwood Clementon Rd Apt 104
City
Pine Hill
State
New Jersey
Zip
08021-6819
Phone Number
856-265-4928
Fax Number
person
Provider Business Mailing Address Details
Address
828 Blackwood Clementon Rd Apt 104
City
Pine Hill
State
New Jersey
Zip
08021-6819
Phone Number
856-265-4928
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.
(New Jersey)
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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