BROADWAY RESPITE AND HOME CARE
Residential Treatment Facilities at Boonton Ave, Kinnelon, NJ

License number
New Jersey GH2140
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: ANASTASIA VAYNBERG
Title: MANAGER
Phone: (201) 703-3980
Address
Address 2
89 Boonton Ave, Kinnelon, NJ 07405
17-17 Broadway, Fair Lawn, NJ 07410
National Provider ID: 1407365281
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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