Healthcare Provider Details

I. General information

NPI: 1295561421
Provider Name (Legal Business Name): CONNECTED DOTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 FARM RD UNIT G
HILLSBOROUGH NJ
08844-4483
US

IV. Provider business mailing address

76 FARM RD UNIT G
HILLSBOROUGH NJ
08844-4483
US

V. Phone/Fax

Practice location:
  • Phone: 908-625-0013
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANAE JEFFERSON
Title or Position: DIRECTOR
Credential:
Phone: 908-625-0013