Organization · Type 2 NPI

Broadway Group Home LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Teaneck, NJ

NPI number 1619683166 Active

Practice location

1231 Longfellow Ave
Teaneck, NJ 07666-4911

Call (973) 546-0488 Map

Mailing address

17-17 Broadway
Fair Lawn, NJ 07410-2055

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

2 other providers at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Teaneck

See all in Teaneck →

About NPI 1619683166

Broadway Group Home LLC's National Provider Identifier is 1619683166, issued on Jan 27, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Teaneck, NJ. The record was last updated on Jan 27, 2023.