BROADWAY RESPITE AND HOME CARE, LLC
Respite Care Facility at Broadway, Fair Lawn, NJ

License number
New Jersey HP0100300
Category
Respite Care Facility
Type
Respite Care, Mental Retardation and/or Developmental Disabilities
Owner
Name: MRS. ZHANNA BASINA RN
Title: PRESIDENT
Phone: (201) 703-3980
Address
Address
24-20 Broadway, Fair Lawn, NJ 07410
National Provider ID: 1427500446
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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