Organization · Type 2 NPI

Innovative Life of New Jersey

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

NPI number 1326604349 Active

Practice location

1900 Mount Holly Rd Ste 600A
Burlington, NJ 08016-4722

Call (301) 270-4750 Map

Mailing address

8484 Georgia Ave Ste 900
Silver Spring, MD 20910-5604

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	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 1326604349

Innovative Life of New Jersey's National Provider Identifier is 1326604349, issued on May 15, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Burlington, NJ. The record was last updated on May 2, 2023.