Individual provider · Type 1 NPI
Tony Chukwueke, PTA
Child Intellectual and/or Developmental Disabilities Respite Care · Linden, NJ
NPI number
1023239605
Active
Practice location
15 West 18th Street
Linden, NJ 07036
Fax (845) 564-6974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | 005317-1 (NY) |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
About NPI 1023239605
Tony Chukwueke, PTA's National Provider Identifier is 1023239605, issued on May 1, 2007. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Linden, NJ. The record was last updated on Jul 8, 2007.