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Broadway Respite And Home Care, Llc
Child Intellectual and/or Developmental Disabilities Respite Care in Fair Lawn, New Jersey
NPI 1427500446

Broadway Respite And Home Care, Llc is a Child Intellectual and/or Developmental Disabilities Respite Care based in Fair Lawn, NJ and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Broadway Respite And Home Care, Llc practices in Fair Lawn, NJ. The NPI Number for Broadway Respite And Home Care, Llc is 1427500446 and holds a License No. HP0100300 (New Jersey).

The current practice location address for Broadway Respite And Home Care, Llc is 24-20 Broadway, Fair Lawn, NJ and can be reached out via phone at 201-703-3980 and via fax at 201-703-3984.

Location: 24-20 Broadway, Fair Lawn, NJ, 07410-2055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427500446
Provider Name
Broadway Respite And Home Care, Llc
Credential
Provider Entity Type
Organization
Address
24-20 Broadway, Fair Lawn, NJ, 07410-2055
Phone Number
201-703-3980
Fax Number
201-703-3984
Provider Enumeration Date
10/25/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0519049 05 NJ
institution
Provider Business Practice Location Address Details
Address
24-20 Broadway
City
Fair Lawn
State
New Jersey
Zip
07410-2055
Phone Number
201-703-3980
Fax Number
201-703-3984
person
Provider Business Mailing Address Details
Address
24-20 Broadway
City
Fair Lawn
State
New Jersey
Zip
07410-2055
Phone Number
201-703-3980
Fax Number
201-703-3984
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
HP0100300 (New Jersey)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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