Organization · Type 2 NPI

Elwyn New Jersey

Developmentally Disabled Services Day Training Agency · Vineland, NJ

NPI number 1669037636 Active

Practice location

Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302
Vineland, NJ 08360

Call (856) 794-5300 Map

Mailing address

Elwyn New Jersey, 208 W. Landis Avenue
Vineland, NJ 08360

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency Primary	251C00000X	None listed

Developmentally Disabled Services Day Training Agency: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational function…

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NPI record

NPI: 1669037636
Entity type: Organization (Type 2)
Issued: May 6, 2019
Last updated: Feb 3, 2022
Status: Active
Subpart: Yes of Elwyn New Jersey

Other names

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Elwyn NJ Sesg · other name
Elwyn NJ Sesg · other name

Authorized official

William Hartley
Executive Director
(856) 794-5300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669037636

Elwyn New Jersey's National Provider Identifier is 1669037636, issued on May 6, 2019. The primary taxonomy on file is Developmentally Disabled Services Day Training Agency (251C00000X), and the practice location is in Vineland, NJ. The record was last updated on Feb 3, 2022.