Enchanted Impressions
NPI #1063207892 in Roselle, New Jersey
Provider Information
- NPI Number
- 1063207892
- Entity Type
- Organization
- Organization Name
- Enchanted Impressions
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Apr 11, 2025
- Last Updated
- Apr 17, 2025
Practice Location
- Address
- 440 DIETZ ST
- City
- Roselle
- State
- New Jersey
- ZIP Code
- 07203-2328
- Phone
- (973) 634-0236
Authorized Official
- Name
- TYANA DANIELLE WHITING
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (973) 634-0236
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
| Private Vehicle |
| Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Hospice Care, Community Based |
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