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KEYSTONE COMMUNITY RESOURCES INC. NPI 1699280768


NPI Information

NPI: 1699280768
Provider Name: KEYSTONE COMMUNITY RESOURCES, INC.

Doing Business As: KEYSTONE COMMUNITY RESOURCES, INC.

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
348 KENT ST
PHILLIPSBURG, NJ
ZIP 08865
Phone: (908) 777-3106
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KEYSTONE COMMUNITY RESOURCES, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Phillipsburg, 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 RESOURCES, INC. NPI is 1699280768. The provider is registered as an organization entity type.
The provider Is Doing Business As Keystone Community Resources, Inc..

The provider's business location address is:

348 KENT ST
PHILLIPSBURG, NJ
ZIP 08865-427
Phone: (908) 777-3106

The provider's authorized official is Laura Brown-yadlosky .
The authorized official title is President/ceo and has the following contact phone number (570) 702-8000.

The enumeration date for this NPI number is 12/11/2017 and was last updated on 2/7/2020.


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 DisabilitiesGH2249NEW JERSEYYes

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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