Organization · Type 2 NPI

Broadway Group Home LLC

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

NPI number 1992401830 Active

Practice location

1480 Ratzer Rd
Wayne, NJ 07470-2430

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.

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About NPI 1992401830

Broadway Group Home LLC's National Provider Identifier is 1992401830, issued on Feb 2, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Wayne, NJ. The record was last updated on Feb 2, 2023.