Innovative Life of New Jersey
NPI #1083388680 in Plainsboro, New Jersey
Provider Information
- NPI Number
- 1083388680
- Entity Type
- Organization
- Organization Name
- Innovative Life of New Jersey
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 6, 2021
- Last Updated
- Aug 6, 2021
Practice Location
- Address
- 2516 HUNTERS GLEN DR
- City
- Plainsboro
- State
- New Jersey
- ZIP Code
- 08536-3870
- Phone
- (301) 270-4750
Authorized Official
- Name
- SHINAVIA MCKINNEY
- Title
- COO
- Phone
- (301) 270-4750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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