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 1942179288

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

406A Barton Run Blvd
Marlton, NJ 08053-2730
Phone: (301) 270-4750
Fax: (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 number1942179288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shinavia McKinney — Coo · (301) 270-4750
NPI enumeratedNovember 4, 2025
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address8484 Georgia Ave Ste 900, Silver Spring, MD 20910-5604

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