Organization Name: | ASSOC. FOR RETARDED CITIZENS, INC. GLOUCESTER COUNTY |
NPI Number: | 1245606953 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANA RIVERA (EXECUTIVE DIRECTOR) |
Mailing Address: | 1555 Gateway Blvd Individual Support Program West Deptford |
State: | NJ US |
Postal Code: | 08096 |
Phone Number: | 8568488648 |
Fax Number: | 8568487753 |
NPI Enumeration Date: | 08/17/2015 |
NPI Last Update Date: | 08/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |