Roots & Wings Independent Living
Roots & Wings Independent Living is a Developmentally Disabled Services Day Training Agency in West Orange, New Jersey. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 5
Practice location Address checks out
10 Hepworth PlWest Orange, NJ 07052-3206
Phone: (973) 204-7775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
| Preferred Provider Organization | Taxonomy 305R00000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
| Respite Care | Taxonomy 385H00000X |
Record details
| NPI number | 1336827153 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tisha McKenzie — Founder/Chief Executive Officer · (973) 204-7775 |
| NPI enumerated | July 11, 2023 |
| Last updated in NPPES | July 11, 2023 |
| Certification date | July 11, 2023 |
| Mailing address | 10 Hepworth Pl, West Orange, NJ 07052-3206 |
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