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Dungarvin New Jersey, Llc-kenmore
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Edison, New Jersey
NPI 1568818375

Dungarvin New Jersey, Llc-kenmore is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Somerset, NJ. Dungarvin New Jersey, Llc-kenmore practices in Edison, NJ. The NPI Number for Dungarvin New Jersey, Llc-kenmore is 1568818375 and holds a License No. (New Jersey).

The current practice location address for Dungarvin New Jersey, Llc-kenmore is 31 Kenmore Rd, Edison, NJ and can be reached out via phone at 732-287-3254.

Location: 31 Kenmore Rd, Edison, NJ, 08873-4015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568818375
Provider Name
Dungarvin New Jersey, Llc-kenmore
Credential
Provider Entity Type
Organization
Address
31 Kenmore Rd, Edison, NJ, 08873-4015
Phone Number
732-287-3254
Fax Number
Provider Enumeration Date
05/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0494275 05 NJ
institution
Provider Business Practice Location Address Details
Address
31 Kenmore Rd
City
Edison
State
New Jersey
Zip
08817
Phone Number
732-287-3254
Fax Number
person
Provider Business Mailing Address Details
Address
31 Kenmore Rd
City
Edison
State
New Jersey
Zip
08817
Phone Number
732-287-3254
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.
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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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