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General NPI Number Information
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NPI Number | 1447939962
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Entity Type | Organization
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Legal Business Name | CROSSLINKS CARE LLC
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 989 SANFORD AVE
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City | IRVINGTON
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State | NJ
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Zip | 07111-1444
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Country | US
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Telephone | 973-821-3065
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Fax | 973-762-4140
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Provider Business Mailing Address
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Address Line | 54 FERNWOOD RD
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-1622
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Country | US
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Telephone | 973-821-3065
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Fax | 973-762-4140
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Authorized Official
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Title or Position | COMMUNITY SUPPORTS MANAGER
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Name | FOLAKE O ADEYINKA
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Credential | RN, BSN
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Telephone | 973-821-3065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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