Provider Demographics
NPI:1821556465
Name:FIRST RESPONSE RESIDENTIAL SERVICES INC.
Entity Type:Organization
Organization Name:FIRST RESPONSE RESIDENTIAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANNEMARIE
Authorized Official - Last Name:RAHI
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:718-644-7150
Mailing Address - Street 1:575 KENT PL
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-5900
Mailing Address - Country:US
Mailing Address - Phone:718-644-7150
Mailing Address - Fax:908-486-3325
Practice Address - Street 1:575 KENT PL
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-5900
Practice Address - Country:US
Practice Address - Phone:718-644-7150
Practice Address - Fax:908-486-3325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-02
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities