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Innovative Life Of New Jersey
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brick, New Jersey
NPI 1356091722

Innovative Life Of New Jersey is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Silver Spring, NJ. Innovative Life Of New Jersey practices in Brick, NJ. The NPI Number for Innovative Life Of New Jersey is 1356091722 and holds a License No. (New Jersey).

The current practice location address for Innovative Life Of New Jersey is 175 Chambers Bridge Rd Apt 143, Brick, NJ and can be reached out via phone at 301-270-4750.

Location: 175 Chambers Bridge Rd Apt 143, Brick, NJ, 20910-5604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356091722
Provider Name
Innovative Life Of New Jersey
Credential
Provider Entity Type
Organization
Address
175 Chambers Bridge Rd Apt 143, Brick, NJ, 20910-5604
Phone Number
301-270-4750
Fax Number
Provider Enumeration Date
03/28/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
175 Chambers Bridge Rd Apt 143
City
Brick
State
New Jersey
Zip
08723-3504
Phone Number
301-270-4750
Fax Number
person
Provider Business Mailing Address Details
Address
175 Chambers Bridge Rd Apt 143
City
Brick
State
New Jersey
Zip
08723-3504
Phone Number
301-270-4750
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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