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Eddie Benjamin Davis III
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Woodbury, New Jersey
NPI 1699305086

Eddie Benjamin Davis III is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Woodbury, NJ. Eddie Benjamin Davis III practices in Woodbury, NJ. The NPI Number for Eddie Benjamin Davis III is 1699305086 and holds a License No. (New Jersey).

The current practice location address for Eddie Benjamin Davis III is 1966 Melvina Rd, Woodbury, NJ and can be reached out via phone at 856-693-4446.

Location: 1966 Melvina Rd, Woodbury, NJ, 08096-5613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699305086
Provider Name
Eddie Benjamin Davis III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1966 Melvina Rd, Woodbury, NJ, 08096-5613
Phone Number
856-693-4446
Fax Number
Provider Enumeration Date
01/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1966 Melvina Rd
City
Woodbury
State
New Jersey
Zip
08096-5613
Phone Number
856-693-4446
Fax Number
person
Provider Business Mailing Address Details
Address
1966 Melvina Rd
City
Woodbury
State
New Jersey
Zip
08096-5613
Phone Number
856-693-4446
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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