KEYSTONE COMMUNITY LIVING INC. NPI 1326528001

NPI Information

KEYSTONE COMMUNITY LIVING, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Somerville, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. KEYSTONE COMMUNITY LIVING, INC. NPI is 1326528001. The provider is registered as an organization entity type.

The provider's business location address is:

40 BROOKSIDE AVE APT 11A
SOMERVILLE, NJ
ZIP 08876-600
Phone: (908) 757-1080

The provider's authorized official is Ray Fantuzzi .
The authorized official title is Director and has the following contact phone number (908) 757-1080.

The enumeration date for this NPI number is 8/21/2018 and was last updated on 8/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.