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Broadway Group Home Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Brunswick, New Jersey
NPI 1861106478

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 North Brunswick, NJ. The NPI Number for Broadway Group Home Llc is 1861106478 and holds a License No. (New Jersey).

The current practice location address for Broadway Group Home Llc is 1215 Livingston Ave Ste 200, North Brunswick, NJ and can be reached out via phone at 201-703-3980 and via fax at 201-703-3984.

Location: 1215 Livingston Ave Ste 200, North Brunswick, NJ, 07410-2055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861106478
Provider Name
Broadway Group Home Llc
Credential
Provider Entity Type
Organization
Address
1215 Livingston Ave Ste 200, North Brunswick, NJ, 07410-2055
Phone Number
201-703-3980
Fax Number
201-703-3984
Provider Enumeration Date
01/09/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1215 Livingston Ave Ste 200
City
North Brunswick
State
New Jersey
Zip
08902-3834
Phone Number
201-703-3980
Fax Number
201-703-3984
person
Provider Business Mailing Address Details
Address
1215 Livingston Ave Ste 200
City
North Brunswick
State
New Jersey
Zip
08902-3834
Phone Number
201-703-3980
Fax Number
201-703-3984
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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