Provider Demographics
NPI:1972994481
Name:PERSON FIRST NEW JERSEY LLC
Entity type:Organization
Organization Name:PERSON FIRST NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NKAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-481-2729
Mailing Address - Street 1:14 HEGGAN LN
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-9502
Mailing Address - Country:US
Mailing Address - Phone:609-249-6151
Mailing Address - Fax:
Practice Address - Street 1:14 HEGGAN LN
Practice Address - Street 2:HEGGAN LN
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037
Practice Address - Country:US
Practice Address - Phone:609-481-2729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities