Provider Demographics
NPI:1902461437
Name:CADELY CARE SERVICES
Entity Type:Organization
Organization Name:CADELY CARE SERVICES
Other - Org Name:CADELY CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:NATHALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUSTAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-635-4209
Mailing Address - Street 1:222 HIDDEN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3488
Mailing Address - Country:US
Mailing Address - Phone:908-977-0660
Mailing Address - Fax:
Practice Address - Street 1:44 FREEMAN ST
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-3430
Practice Address - Country:US
Practice Address - Phone:908-977-0660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services