Organization · Type 2 NPI

Ebony Island Shelter Company

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

NPI number 1437462504 Active

Practice location

127 Eastmont Ln
Sicklerville, NJ 08081-1913

Call (856) 262-7396 Map

Fax (856) 262-8691

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XV58475691600 (NJ)

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 1437462504

Ebony Island Shelter Company's National Provider Identifier is 1437462504, issued on Jul 19, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Sicklerville, NJ. The record was last updated on Jul 19, 2010.