Provider Demographics
NPI:1003199423
Name:ROOMS TO GROW
Entity Type:Organization
Organization Name:ROOMS TO GROW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AFRIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:201-709-1482
Mailing Address - Street 1:31 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-3012
Mailing Address - Country:US
Mailing Address - Phone:201-709-1482
Mailing Address - Fax:973-313-2363
Practice Address - Street 1:368 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-1846
Practice Address - Country:US
Practice Address - Phone:201-709-1482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care