OrganizationActive
A Legacy of Love Educational and Developmental Services
NPI 1902470487 · Community/Behavioral Health Agency · Bloomfield, NJ
Provider details
- NPI number
- 1902470487
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Nicole Dupree, Director(862) 236-0456
Specialties & taxonomies
Agencies
- Local Education Agency (LEA)251300000X
Agencies
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Practice location
27 Thomas St
Bloomfield, NJ 07003-2327
Phone: (862) 236-0456
Approximate (ZIP-level) locationGet directions
Mailing address
27 Thomas St
Bloomfield, NJ 07003-2327
Registry dates
- Enumerated
- 2021-05-18
- Last updated
- 2021-05-18
- Certified
- 2021-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.