Boma, Gaston Achidi

Boma, Gaston Achidi is an sole proprietor health care provider with primary practice located at 2201 S Clinton Ave Ste 2F , South Plainfield NJ 07080-1473. He recently has 5 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Agencies / Community/Behavioral Health, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is his primary health care specialty. Boma, Gaston Achidi can be contacted via phone (908) 462-4361.

Contact Information

Primary practice address
2201 S Clinton Ave Ste 2F South Plainfield NJ 07080-1473
Phone: (908) 462-4361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Agencies / Community/Behavioral Health 251S00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1316592090
LBN Legal business name Boma, Gaston Achidi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2019
Last updated Aug 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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