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Phoenix Support Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ewing, New Jersey
NPI 1427611185

Phoenix Support Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Ewing, NJ. Phoenix Support Services Llc practices in Ewing, NJ. The NPI Number for Phoenix Support Services Llc is 1427611185 and holds a License No. (New Jersey).

The current practice location address for Phoenix Support Services Llc is 1014 Whitehead Road Ext, Ewing, NJ and can be reached out via phone at 732-239-3414.

Location: 1014 Whitehead Road Ext, Ewing, NJ, 08638-2406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427611185
Provider Name
Phoenix Support Services Llc
Credential
Provider Entity Type
Organization
Address
1014 Whitehead Road Ext, Ewing, NJ, 08638-2406
Phone Number
732-239-3414
Fax Number
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1014 Whitehead Road Ext
City
Ewing
State
New Jersey
Zip
08638-2406
Phone Number
732-239-3414
Fax Number
person
Provider Business Mailing Address Details
Address
1014 Whitehead Road Ext
City
Ewing
State
New Jersey
Zip
08638-2406
Phone Number
732-239-3414
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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