Organization · Type 2 NPI

State of New Jersey Omb Centralized Payroll

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Avenel, NJ

NPI number 1487680294 Active

Practice location

1275 Rahway Avenue
Avenel, NJ 07095-0189

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1487680294

State of New Jersey Omb Centralized Payroll's National Provider Identifier is 1487680294, issued on Jun 23, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Avenel, NJ. The record was last updated on Apr 24, 2008.