LILLY OF THE VALLEY LLC
NPI 1457079444
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cliffside Park, NJ
- Organization
- Community Based Residential Treatment Fa...
About LILLY OF THE VALLEY LLC
This page provides the complete NPI Profile along with additional information for Lilly Of The Valley Llc, a provider established in Cliffside Park, 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 1457079444 assigned on August 2022. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Shanice Jenkins (Ceo)
- NPI
- 1457079444 Verify this NPI
- Provider Name
- LILLY OF THE VALLEY LLC
- Entity Type
- Organization
- Location Address
- 1 TOWNE CENTRE DRIVE SUITE 302 CLIFFSIDE PARK, NJ 07010
- Location Phone
- (267) 902-2343
- Mailing Address
- 555 S GODDARD BLVD APT 434 KING OF PRUSSIA, PA 19406
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2022
- Last Update Date
- 08-16-2022
- 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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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CLIFFSIDE PARK, NJ 07010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457079444, enumerated as an "organization" on August 16, 2022.
The provider is located at 1 TOWNE CENTRE DRIVE SUITE 302 CLIFFSIDE PARK, NJ 07010 and the phone number is (267) 902-2343.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
