Provider Demographics
NPI:1750116869
Name:VENITA S WELCOME LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:VENITA S WELCOME LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-210-2148
Mailing Address - Street 1:9 BARKER RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:225 DEMOTT LN STE 203
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4875
Practice Address - Country:US
Practice Address - Phone:908-210-2148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health