Willowglen Academy-New Jersey, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Medford, New Jersey
1457736126- Practice location
- 96 Tallowood Drive, Medford, NJ 08055
- Phone
- 973-579-3700
- Fax
- 973-579-1786
- Last updated
- July 23, 2015
Willowglen Academy-New Jersey, INC. is a healthcare organization based in Medford, NJ. Willowglen Academy-New Jersey, INC. practices in Medford, NJ. The NPI Number for Willowglen Academy-New Jersey, INC. is 1457736126. The current practice location address for Willowglen Academy-New Jersey, INC. is 96 Tallowood Drive, Medford, NJ 08055 and can be reached out via phone at 973-579-3700 and via fax at 973-579-1786.
Provider Profile Details
- NPI Number
- 1457736126
- Provider Name
- Willowglen Academy-New Jersey, INC.
- Provider Entity Type
- Organization
- Address
- 96 Tallowood Drive, Medford, NJ 08055
- Phone Number
- 973-579-3700
- Fax Number
- 973-579-1786
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- Yes
- Parent Organization
- Willowglen Academy-New Jersey, INC.
- Authorized Official
- Mrs. Patricia Bates · Controller · 973-579-3700
- Other Names
- Wga Tallowood (Other Name)
- Provider Enumeration Date
- July 23, 2015
- Last Update Date
- July 23, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 96 Tallowood Drive
Medford, NJ 08055 - City
- Medford
- State
- New Jersey
- Zip
- 08055
- Phone Number
- 973-579-3700
- Fax Number
- 973-579-1786
Provider Business Mailing Address Details
- Address
- 8 Wilson Drive
Sparta, NJ 07871-3491 - City
- Sparta
- State
- NJ
- Zip
- 07871-3491
- Phone Number
- 973-579-3700
- Fax Number
- 973-579-1786
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Willowglen Academy-New Jersey, INC.?
The NPI number of Willowglen Academy-New Jersey, INC. is 1457736126. It was assigned on July 23, 2015 and is currently active in the NPPES registry.
What is the specialty of Willowglen Academy-New Jersey, INC.?
Willowglen Academy-New Jersey, INC. is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Willowglen Academy-New Jersey, INC. practice?
The practice location is 96 Tallowood Drive, Medford, NJ 08055. The office can be reached at 973-579-3700 (phone) or 973-579-1786 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457736126 directly on the NPPES registry website.