Whalio Doctors

NPI 1003297433

Life Opportunities Unlimited

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Glen Rock, NJ

Practice location

Address
34 Valley Rd, Glen Rock, NJ 07452-1712
Phone
(201) 689-1128
Mailing address
75 N Maple Ave Suite 104, Ridgewood, NJ 07450-3247

Authorised official

Name
Gail Tamirian Mandeli
Title
Executive Director
Phone
(201) 689-1128

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1003297433
Entity type
Organization
NPI issued
11 Jun 2015
Record last updated
11 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.