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Ms. Leeann Moore
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hazlet Township, New Jersey
NPI 1699419556

Leeann Moore is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in W.keansburg, NJ. Leeann Moore practices in Hazlet Township, NJ. The NPI Number for Leeann Moore is 1699419556 and holds a License No. (New Jersey).

The current practice location address for Leeann Moore is 210 4Th St, Hazlet Township, NJ and can be reached out via phone at 732-768-7227.

Location: 210 4Th St, Hazlet Township, NJ, 07734-2918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699419556
Provider Name
Leeann Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
210 4Th St, Hazlet Township, NJ, 07734-2918
Phone Number
732-768-7227
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 4Th St
City
Hazlet Township
State
New Jersey
Zip
07734-2918
Phone Number
732-768-7227
Fax Number
person
Provider Business Mailing Address Details
Address
210 4Th St
City
Hazlet Township
State
New Jersey
Zip
07734-2918
Phone Number
732-768-7227
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(New Jersey)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
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.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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