Innovative Life of New Jersey
Innovative Life of New Jersey is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Eatontown, New Jersey. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
158A Eatoncrest DrEatontown, NJ 07724-1261
Phone: (609) 526-3900
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1871176826 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shinavia McKinney — Executive Director · (301) 270-4750 |
| NPI enumerated | April 28, 2021 |
| Last updated in NPPES | April 28, 2021 |
| Certification date | April 28, 2021 |
| Mailing address | 1900 Mount Holly Rd Ste 600a, Burlington, NJ 08016-4722 |
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