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A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X |
| NPI Number | 1104328483 |
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| LBN Legal business name | BROADWAY RESPITE AND HOME CARE | ||||
| Authorized official | ANASTASIA VAYNBERG - (BILLING MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/02/2018 | ||||
| Last updated | 03/02/2018 - About 8 years ago | ||||
| Identifiers |
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BROADWAY RESPITE AND HOME CARE