Organization · Type 2 NPI

Broadway Group Home LLC

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

NPI number 1861106478 Active

Practice location

1215 Livingston Ave Ste 200
North Brunswick, NJ 08902-3834

Call (201) 703-3980 Map

Fax (201) 703-3984

Mailing address

17-17 Broadway
Fair Lawn, NJ 07410-2055

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None 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.

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About NPI 1861106478

Broadway Group Home LLC's National Provider Identifier is 1861106478, issued on Jan 9, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in North Brunswick, NJ. The record was last updated on Mar 5, 2024.