Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Life of New Jersey

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1013886332

Innovative Life of New Jersey is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marlton, New Jersey. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

480B Barton Run Blvd
Marlton, NJ 08053-2734
Phone: (301) 270-4750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1013886332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shinavia McKinney — Coo · (301) 270-4750
NPI enumeratedNovember 4, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address480b Barton Run Blvd, Marlton, NJ 08053-2734

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