Providence Support Services
NPI #1225841968 in Bordentown, New Jersey
Provider Information
- NPI Number
- 1225841968
- Entity Type
- Organization
- Organization Name
- Providence Support Services
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 28, 2025
- Last Updated
- Jan 28, 2025
Practice Location
- Address
- 3 RIDGEWOOD DR
- City
- Bordentown
- State
- New Jersey
- ZIP Code
- 08505-4737
- Phone
- (732) 322-3924
Authorized Official
- Name
- MR. HENRY O ADEBAYO, N/A
- Title
- PRESIDENT
- Phone
- (732) 322-3924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Community/Behavioral Health |
| In Home Supportive Care |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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