Organization · Type 2 NPI

Innovative Life of New Jersey

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Marlton, NJ

NPI number 1013886332 Active

Practice location

480B Barton Run Blvd
Marlton, NJ 08053-2734

Call (301) 270-4750 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1013886332

Innovative Life of New Jersey's National Provider Identifier is 1013886332, issued on Nov 4, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Marlton, NJ. The record was last updated on Nov 4, 2025.