Individual provider · Type 1 NPI
Olusina Oladipo Coker
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Toms River, NJ
Practice location
424 Emma Dr
Toms River, NJ 08755-6412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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 1265065981
Olusina Oladipo Coker's National Provider Identifier is 1265065981, issued on Feb 20, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Toms River, NJ. The record was last updated on Feb 20, 2020.