Provider Demographics
NPI:1376089383
Name:NUE BEGINNINGS RESIDENCE HOME A NJ NONPROFIT CORPORATION
Entity Type:Organization
Organization Name:NUE BEGINNINGS RESIDENCE HOME A NJ NONPROFIT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-481-9844
Mailing Address - Street 1:1442 SHIRLEY ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-2131
Mailing Address - Country:US
Mailing Address - Phone:678-481-9844
Mailing Address - Fax:
Practice Address - Street 1:1442 SHIRLEY ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07062-2131
Practice Address - Country:US
Practice Address - Phone:678-481-9844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NUE BEGINNINGS RESIDENCE HOME INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services