Beacon Specialized Living New Jersey, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eatontown, NJ. Organization (NPI-2).
NPI number1649979477
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1649979477
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon Specialized Living New Jersey, INC.
- Organization subpart
- No
- Enumeration date
- Mar 1, 2023
- Certification date
- Mar 2, 2023
- Last updated
- Mar 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
58 Rose CtEatontown, NJ 07724-1516
Phone 732-389-2607
Mailing address
13 Roszel Rd Ste B110Princeton, NJ 08540-6211
Phone 609-987-5003 · Fax 609-520-7979
Authorized official
Darren Hodgdon
Chief Executive Officer
2694278400
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