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Broadway Group Home Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Monroe, New Jersey
NPI 1720794274

Broadway Group Home Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fair Lawn, NJ. Broadway Group Home Llc practices in Monroe, NJ. The NPI Number for Broadway Group Home Llc is 1720794274 and holds a License No. (New Jersey).

The current practice location address for Broadway Group Home Llc is 20 Lower Matchaponix Ave, Monroe, NJ and can be reached out via phone at 973-546-0488.

Location: 20 Lower Matchaponix Ave, Monroe, NJ, 07410-2055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720794274
Provider Name
Broadway Group Home Llc
Credential
Provider Entity Type
Organization
Address
20 Lower Matchaponix Ave, Monroe, NJ, 07410-2055
Phone Number
973-546-0488
Fax Number
Provider Enumeration Date
01/27/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
20 Lower Matchaponix Ave
City
Monroe
State
New Jersey
Zip
08831-1424
Phone Number
973-546-0488
Fax Number
person
Provider Business Mailing Address Details
Address
20 Lower Matchaponix Ave
City
Monroe
State
New Jersey
Zip
08831-1424
Phone Number
973-546-0488
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.
()
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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