Organization · Type 2 NPI

Providence Support Services

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

NPI number 1225841968 Active

Practice location

3 Ridgewood Dr
Bordentown, NJ 08505-4737

Fax (267) 841-7275

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
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 1225841968

Providence Support Services's National Provider Identifier is 1225841968, issued on Jan 28, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bordentown, NJ. The record was last updated on Jan 28, 2025.