| Empowernest Provider Care | |
|
71 Ridge St Apt 16 Orange NJ 07050-1649 | |
| (862) 306-9303 | |
| Not Available |
| Full Name | Empowernest Provider Care |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 71 Ridge St Apt 16, Orange, New Jersey |
| Authorized Official Name and Position | Tiara Booker (OPERATOR) |
| Authorized Official Contact | 8623069303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowernest Provider Care 71 Ridge St Apt 16 Orange NJ 07050-1649 Ph: (862) 306-9303 | Empowernest Provider Care 71 Ridge St Apt 16 Orange NJ 07050-1649 Ph: (862) 306-9303 |
| NPI Number | 1306630124 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306630124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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