MEDICARE: FRIENDS OF CYRUS II INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
2	320700000X	Physical Disabilities Residential Treatment Facility
3	320800000X	Mental Illness Community Based Residential Treatment Facility
4	323P00000X	Psychiatric Residential Treatment Facility
5	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1679354849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDS OF CYRUS II INC

Provider Business Mailing Address
First Line	:	505 THORNALL ST STE 305
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08837-2260
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 OAK TER
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-2716
Country	:	US
Telephone Number	:	201-213-1935
Fax Number	:

Authorized Official
Title or Position	:	CHAIRMAN
Name	:	NAREN SINGHANI
Credential	:
Telephone Number	:	201-213-1935

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	10/12/2023

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