Home Heritage
NPI #1417544800 in Roselle Park, New Jersey
Provider Information
- NPI Number
- 1417544800
- Entity Type
- Organization
- Organization Name
- Home Heritage
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 31, 2020
- Last Updated
- Dec 31, 2020
Practice Location
- Address
- 76 E WESTFIELD AVE APT 10
- City
- Roselle Park
- State
- New Jersey
- ZIP Code
- 07204-2237
- Phone
- (908) 917-1285
Authorized Official
- Name
- ABAYOMI OLUSOLA OKUNNUBI
- Title
- CEO
- Phone
- (908) 917-1285
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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