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Dungarvin New Jersey, Llc-rancocas Day Program
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Willingboro, New Jersey
NPI 1174976963

Dungarvin New Jersey, Llc-rancocas Day Program is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Somerset, NJ. Dungarvin New Jersey, Llc-rancocas Day Program practices in Willingboro, NJ. The NPI Number for Dungarvin New Jersey, Llc-rancocas Day Program is 1174976963 and holds a License No. (New Jersey).

The current practice location address for Dungarvin New Jersey, Llc-rancocas Day Program is 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ and can be reached out via phone at 609-871-2752.

Location: 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ, 08873-4015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174976963
Provider Name
Dungarvin New Jersey, Llc-rancocas Day Program
Credential
Provider Entity Type
Organization
Address
1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ, 08873-4015
Phone Number
609-871-2752
Fax Number
Provider Enumeration Date
07/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0494275 05 NJ
institution
Provider Business Practice Location Address Details
Address
1000 Rev Dr Martin Luther King Jr Dr
City
Willingboro
State
New Jersey
Zip
08046
Phone Number
609-871-2752
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Rev Dr Martin Luther King Jr Dr
City
Willingboro
State
New Jersey
Zip
08046
Phone Number
609-871-2752
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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