PRINCE ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED, INC.


Address: 106 N Garden Blvd, Edgewater Park, NJ 08010-2147
Phone: 6098776920

PRINCE ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED, INC. (NPI# 1265828396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265828396
Entity Type Organization
Organization Name PRINCE ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED, INC.
Practice Address 106 N Garden Blvd
Edgewater Park
NJ 08010-2147
Mailing Address 20 Twisting Ln
Willingboro
NJ 08046-4116
Practice Telephone 6098776920
Enumeration Date 2015-04-15
Last Update Date 2016-11-15
Authorized Official Name WILLA PRINCE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6098776745
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851833362 Prince Association for The Developmentally Disabled, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 128 S Pemberton Rd, Pemberton, NJ 08068-1627 2016-11-15

Office Location

Street Address 106 N GARDEN BLVD
City EDGEWATER PARK
State NJ
Zip Code 08010-2147

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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Competitor

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City EDGEWATER PARK
Zip Code 08010

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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