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ARC OF CAMDEN COUNTY MYRTLE AVE SUPPORTED LIVING NPI 1083132054


NPI Information

NPI: 1083132054
Provider Name: ARC OF CAMDEN COUNTY MYRTLE AVE SUPPORTED LIVING

Doing Business As: ARC OF CAMDEN COUNTY MYRTLE AVE SUPPORTED LIVING

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4001 MYRTLE AVE APT J8
CAMDEN, NJ
ZIP 08105
Phone: (856) 767-3807
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ARC OF CAMDEN COUNTY MYRTLE AVE SUPPORTED LIVING is a community based residential treatment facility, intellectual and/or developmental disabilities in Camden, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ARC OF CAMDEN COUNTY MYRTLE AVE SUPPORTED LIVING NPI is 1083132054. The provider is registered as an organization entity type.
The provider Is Doing Business As Arc Of Camden County Myrtle Ave Supported Living.

The provider's business location address is:

4001 MYRTLE AVE APT J8
CAMDEN, NJ
ZIP 08105-663
Phone: (856) 767-3807

The provider's authorized official is Thomas Mannion .
The authorized official title is Cfo and has the following contact phone number (856) 767-3807.

The enumeration date for this NPI number is 8/30/2017 and was last updated on 8/30/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.