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Advoserv Of New Jersey, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ewing, NJ. Organization (NPI-2).

NPI number1972089753
StatusActive
Last updated in NPPESJul 16, 2018

Details

NPI
1972089753
Entity type
Organization (NPI-2)
Legal business name
Advoserv Of New Jersey, INC.
Organization subpart
Yes
Enumeration date
Jul 16, 2018
Last updated
Jul 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

1144 River Rd
Ewing, NJ 08628-2106

Phone 856-241-3320 · Fax 856-241-3321

Mailing address

510 Heron Dr Ste 114
Swedesboro, NJ 08085-1767

Phone 856-241-3320 · Fax 856-241-3321

Authorized official

Michael Wilder
Senior Vp Of Operations
8562413320

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Ewing, NJ

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