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DYNAMIC WELLNESS SOLUTIONS NPI 1053826800


NPI Information

NPI: 1053826800
Provider Name: DYNAMIC WELLNESS SOLUTIONS
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
95 GRANT AVE
NEW PROVIDENCE, NJ
ZIP 07974
Phone: (973) 714-2159
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DYNAMIC WELLNESS SOLUTIONS is a community based residential treatment facility, intellectual and/or developmental disabilities in New Providence, 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. DYNAMIC WELLNESS SOLUTIONS NPI is 1053826800. The provider is registered as an organization entity type.

The provider's business location address is:

95 GRANT AVE
NEW PROVIDENCE, NJ
ZIP 07974-521
Phone: (973) 714-2159
Fax: (908) 665-0621

The provider's authorized official is Lucie Thibeaud Tchouassi .
The authorized official title is Chief Operating Officer and has the following contact phone number (973) 714-2159.

The enumeration date for this NPI number is 12/1/2017 and was last updated on 12/1/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, 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: 5/5/2024

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