Broadway Respite and Home Care, LLC
NPI #1548831738 in Lodi, New Jersey
Provider Information
- NPI Number
- 1548831738
- Entity Type
- Organization
- Organization Name
- Broadway Respite and Home Care, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 8, 2021
- Last Updated
- Jul 8, 2021
Practice Location
- Address
- 16 GUNTHER AVE
- City
- Lodi
- State
- New Jersey
- ZIP Code
- 07644-2015
- Phone
- (201) 703-3980
Authorized Official
- Name
- PATRICK PATTON
- Title
- COO
- Phone
- (201) 703-3980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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