Provider Demographics
NPI:1033688650
Name:THE FAMILY RESOURCE NETWORK
Entity Type:Organization
Organization Name:THE FAMILY RESOURCE NETWORK
Other - Org Name:KIDZ KORNER AFTER SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE VP
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRATHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-392-4900
Mailing Address - Street 1:50 MILLSTONE ROAD
Mailing Address - Street 2:BUILDING 300, SUITE 270
Mailing Address - City:E. WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520
Mailing Address - Country:US
Mailing Address - Phone:609-203-1883
Mailing Address - Fax:609-392-5621
Practice Address - Street 1:50 MILLSTONE ROAD
Practice Address - Street 2:BUILDING 300, SUITE 270
Practice Address - City:E. WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520
Practice Address - Country:US
Practice Address - Phone:609-203-1883
Practice Address - Fax:609-392-5621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child