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Innovative Life Of New Jersey
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Willingboro, New Jersey
NPI 1730854928

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 Willingboro, NJ. The NPI Number for Innovative Life Of New Jersey is 1730854928 and holds a License No. (New Jersey).

The current practice location address for Innovative Life Of New Jersey is 1 E River Dr, Willingboro, NJ and can be reached out via phone at 301-270-4750.

Location: 1 E River Dr, Willingboro, NJ, 20910-5604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730854928
Provider Name
Innovative Life Of New Jersey
Credential
Provider Entity Type
Organization
Address
1 E River Dr, Willingboro, NJ, 20910-5604
Phone Number
301-270-4750
Fax Number
Provider Enumeration Date
08/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 E River Dr
City
Willingboro
State
New Jersey
Zip
08046-2315
Phone Number
301-270-4750
Fax Number
person
Provider Business Mailing Address Details
Address
1 E River Dr
City
Willingboro
State
New Jersey
Zip
08046-2315
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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