Mica Gentleheart Adult Care
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Iselin, NJ. Organization (NPI-2).
NPI number1003729328
StatusActive
Last updated in NPPESOct 11, 2026
Details
- NPI
- 1003729328
- Entity type
- Organization (NPI-2)
- Legal business name
- Mica Gentleheart Adult Care
- Organization subpart
- No
- Enumeration date
- Sep 26, 2026
- Certification date
- Oct 11, 2026
- Last updated
- Oct 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1404 Oak Tree Rd Ste 4301Iselin, NJ 08830-1656
Phone 786-271-0898
Mailing address
1404 Oak Tree Rd Ste 4301Iselin, NJ 08830-1656
Phone 786-271-0898
Authorized official
Datude Diorne Exantus
Ceo/Owner
7862710898
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