Provider Demographics
NPI:1629586193
Name:KEELIN-N-FRIENDS
Entity Type:Organization
Organization Name:KEELIN-N-FRIENDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:908-416-3489
Mailing Address - Street 1:15 DRAKE RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-2323
Mailing Address - Country:US
Mailing Address - Phone:908-416-3489
Mailing Address - Fax:
Practice Address - Street 1:15 DRAKE RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-2323
Practice Address - Country:US
Practice Address - Phone:908-416-3489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services