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Ebony Island Shelter Company
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sicklerville, New Jersey
NPI 1437462504

Ebony Island Shelter Company is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Sicklerville, NJ. Ebony Island Shelter Company practices in Sicklerville, NJ. The NPI Number for Ebony Island Shelter Company is 1437462504 and holds a License No. V58475691600 (New Jersey).

The current practice location address for Ebony Island Shelter Company is 127 Eastmont Ln, Sicklerville, NJ and can be reached out via phone at 856-262-7396 and via fax at 856-262-8691.

Location: 127 Eastmont Ln, Sicklerville, NJ, 08081-1913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437462504
Provider Name
Ebony Island Shelter Company
Credential
Provider Entity Type
Organization
Address
127 Eastmont Ln, Sicklerville, NJ, 08081-1913
Phone Number
856-262-7396
Fax Number
856-262-8691
Provider Enumeration Date
07/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
127 Eastmont Ln
City
Sicklerville
State
New Jersey
Zip
08081-1913
Phone Number
856-262-7396
Fax Number
856-262-8691
person
Provider Business Mailing Address Details
Address
127 Eastmont Ln
City
Sicklerville
State
New Jersey
Zip
08081-1913
Phone Number
856-262-7396
Fax Number
856-262-8691
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.
V58475691600 (New Jersey)
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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