Innovative Life of New Jersey
Innovative Life of New Jersey is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brick, New Jersey. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
175 Chambers Bridge Rd Apt 241Brick, NJ 08723-3505
Phone: (301) 270-4750
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1629710389 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shinavia McKinney — Coo · (301) 270-4750 |
| NPI enumerated | April 12, 2022 |
| Last updated in NPPES | April 12, 2022 |
| Certification date | March 28, 2022 |
| Mailing address | 8484 Georgia Ave Ste 900, Silver Spring, MD 20910-5604 |
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