PENNREACH
NPI 1053966986
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Lee, NJ
- Organization
- Community Based Residential Treatment Fa...
About PENNREACH
This page provides the complete NPI Profile along with additional information for Pennreach, a provider established in Fort Lee, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1053966986 assigned on August 2019. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Krystal Odell (Ceo)
- NPI
- 1053966986 Verify this NPI
- Provider Name
- PENNREACH
- Entity Type
- Organization
- Location Address
- 69 MAIN ST APT 812 FORT LEE, NJ 07024
- Location Phone
- (215) 409-5519
- Mailing Address
- 18 S MAIN ST ALLENTOWN, NJ 08501
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-07-2019
- Last Update Date
- 08-07-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053966986, enumerated as an "organization" on August 07, 2019.
The provider is located at 69 MAIN ST APT 812 FORT LEE, NJ 07024 and the phone number is (215) 409-5519.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
