Broadway Group Home LLC
NPI #1861106478 in North Brunswick, New Jersey
Provider Information
- NPI Number
- 1861106478
- Entity Type
- Organization
- Organization Name
- Broadway Group Home LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 9, 2023
- Last Updated
- Mar 5, 2024
Practice Location
- Address
- 1215 LIVINGSTON AVE STE 200
- City
- North Brunswick
- State
- New Jersey
- ZIP Code
- 08902-3834
- Phone
- (201) 703-3980
Authorized Official
- Name
- JENNIFER LOZANO
- Title
- SVP FINANCIAL SERVICE
- Phone
- (770) 630-7290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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