Provider Demographics
NPI:1558068288
Name:REX SUPPORT SERVICES LLC
Entity Type:Organization
Organization Name:REX SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCA
Authorized Official - Middle Name:OSARUGUE
Authorized Official - Last Name:ERIAMIATOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-651-7225
Mailing Address - Street 1:1252 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-2422
Mailing Address - Country:US
Mailing Address - Phone:973-651-7225
Mailing Address - Fax:
Practice Address - Street 1:1252 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-2422
Practice Address - Country:US
Practice Address - Phone:973-651-7225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage
No385H00000XRespite Care FacilityRespite Care