NPI 1063207892
Enchanted Impressions
Practice location
- Address
- 440 Dietz St, Roselle, NJ 07203-2328
- Phone
- (973) 634-0236
Authorised official
- Name
- Tyana Danielle Whiting
- Title
- Administrative Director
- Phone
- (973) 634-0236
Registered specialties (4)
Community Based Hospice Care Agency
Primary
In Home Supportive Care Agency
Private Vehicle
Child Intellectual and/or Developmental Disabilities Respite Care
Registry record
- NPI
- 1063207892
- Entity type
- Organization
- NPI issued
- 11 Apr 2025
- Record last updated
- 17 Apr 2025
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.