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JDK SOCIAL STATION LLC NPI 1922467927


NPI Information

NPI: 1922467927
Provider Name: JDK SOCIAL STATION, LLC
Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
760 POST PL
SECAUCUS, NJ
ZIP 07094
Phone: (201) 739-8079
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JDK SOCIAL STATION, LLC is a respite care and mental retardation and/or developmental disabilities respite care in Secaucus, NJ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. JDK SOCIAL STATION, LLC NPI is 1922467927. The provider is registered as an organization entity type.

The provider's business location address is:

760 POST PL
SECAUCUS, NJ
ZIP 07094-241
Phone: (201) 739-8079

The provider's authorized official is Kirsten Raffel .
The authorized official title is Co Owner and has the following contact phone number (201) 739-8079.

The enumeration date for this NPI number is 2/18/2016 and was last updated on 2/18/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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