Lilly of the Valley LLC
NPI #1457079444 in Cliffside Park, New Jersey
Provider Information
- NPI Number
- 1457079444
- Entity Type
- Organization
- Organization Name
- Lilly of the Valley LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 16, 2022
- Last Updated
- Aug 16, 2022
Practice Location
- Address
- 1 TOWNE CENTRE DRIVE
- Address 2
- SUITE 302
- City
- Cliffside Park
- State
- New Jersey
- ZIP Code
- 07010-2050
- Phone
- (267) 902-2343
Authorized Official
- Name
- SHANICE JENKINS
- Title
- CEO
- Phone
- (267) 902-2343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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