Gaston Achidi Boma
Gaston Achidi Boma is an In Home Supportive Care Agency in South Plainfield, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 5
Practice location Address checks out
2201 S Clinton Ave Ste 2FSouth Plainfield, NJ 07080-1473
Phone: (908) 462-4361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X |
Record details
| NPI number | 1316592090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2019 |
| Last updated in NPPES | August 8, 2019 |