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Broadway Group Home Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wayne, New Jersey
NPI 1871299727

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 Wayne, NJ. The NPI Number for Broadway Group Home Llc is 1871299727 and holds a License No. (New Jersey).

The current practice location address for Broadway Group Home Llc is 4 Berry Dr, Wayne, NJ and can be reached out via phone at 973-546-0488.

Location: 4 Berry Dr, Wayne, NJ, 07410-2055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871299727
Provider Name
Broadway Group Home Llc
Credential
Provider Entity Type
Organization
Address
4 Berry Dr, Wayne, NJ, 07410-2055
Phone Number
973-546-0488
Fax Number
Provider Enumeration Date
02/02/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4 Berry Dr
City
Wayne
State
New Jersey
Zip
07470-3813
Phone Number
973-546-0488
Fax Number
person
Provider Business Mailing Address Details
Address
4 Berry Dr
City
Wayne
State
New Jersey
Zip
07470-3813
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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