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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 # | 1497104905 |
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| LBN Legal business name | DUNGARVIN NEW JERSEY, LLC-WHITEHEAD ONE | ||||
| Authorized official | LORI KRESS - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 06/06/2016 | ||||
| Last updated | 04/27/2023 - About 3 years ago | ||||
| Identifiers |
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DUNGARVIN NEW JERSEY, LLC-WHITEHEAD ONE