Provider Demographics
NPI:1033981477
Name:DOLCE HOMES NON-PROFIT ORGANIATION
Entity Type:Organization
Organization Name:DOLCE HOMES NON-PROFIT ORGANIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NKIRUKA
Authorized Official - Middle Name:GLORIA
Authorized Official - Last Name:NWOBU
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA, DNP
Authorized Official - Phone:973-216-3394
Mailing Address - Street 1:18 FAIRMONT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NJ
Mailing Address - Zip Code:08022-2354
Mailing Address - Country:US
Mailing Address - Phone:973-216-3394
Mailing Address - Fax:
Practice Address - Street 1:922 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-5304
Practice Address - Country:US
Practice Address - Phone:973-216-3394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities