person
Dyneise Tucker
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Newark, New Jersey
NPI 1427683465

Dyneise Tucker is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Newark, NJ. Dyneise Tucker practices in Newark, NJ. The NPI Number for Dyneise Tucker is 1427683465 and holds a License No. (New Jersey).

The current practice location address for Dyneise Tucker is 87 2Nd St Apt 2, Newark, NJ and can be reached out via phone at 862-944-8037.

Location: 87 2Nd St Apt 2, Newark, NJ, 07107-3103
person
Provider Profile Details
NPI Number
1427683465
Provider Name
Dyneise Tucker
Credential
Provider Entity Type
Individual
Gender
Female
Address
87 2Nd St Apt 2, Newark, NJ, 07107-3103
Phone Number
862-944-8037
Fax Number
Provider Enumeration Date
03/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
87 2Nd St Apt 2
City
State
Zip
07107-3103
Phone Number
862-944-8037
Fax Number
person
Provider Business Mailing Address Details
Address
87 2Nd St Apt 2
City
State
Zip
07107-3103
Phone Number
862-944-8037
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
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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