Broadway Group Home LLC
Broadway Group Home LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lodi, New Jersey. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16 Gunther AveLodi, NJ 07644-2015
Phone: (973) 546-0488
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1154037604 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patrick Patton — Coo · (973) 546-0488 |
| NPI enumerated | January 27, 2023 |
| Last updated in NPPES | January 27, 2023 |
| Certification date | January 27, 2023 |
| Mailing address | 17-17 Broadway, Fair Lawn, NJ 07410-2055 |
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