Ebony Island Shelter Company
Ebony Island Shelter Company is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sicklerville, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.
- Licensed in
- NJ
- In the registry since
- 2010
Practice location Address checks out
127 Eastmont LnSicklerville, NJ 08081-1913
Phone: (856) 262-7396
Fax: (856) 262-8691
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence V58475691600 (NJ) |
|---|
Record details
| NPI number | 1437462504 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Hagans — President · (856) 262-7396 |
| NPI enumerated | July 19, 2010 |
| Last updated in NPPES | July 19, 2010 |
| Mailing address | 127 Eastmont Ln, Sicklerville, NJ 08081-1913 |
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