Provider Demographics
NPI:1760992515
Name:THE SOCIAL SCENE - A CLUB FOR ADULTS WITH SPECIAL NEEDS LLC
Entity Type:Organization
Organization Name:THE SOCIAL SCENE - A CLUB FOR ADULTS WITH SPECIAL NEEDS LLC
Other - Org Name:THE SOCIAL SCENE CLUB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:TURIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-241-0476
Mailing Address - Street 1:601 RIVERSIDE AVE UNIT 120
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-3077
Mailing Address - Country:US
Mailing Address - Phone:201-241-0476
Mailing Address - Fax:
Practice Address - Street 1:601 RIVERSIDE AVE UNIT 120
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-3077
Practice Address - Country:US
Practice Address - Phone:201-241-0476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care