Overview
Name: INNOVATIVE LIFE OF NEW JERSEY
Specialty: Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Residential Treatment Facilities
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Specialization: .
Definition of Specialty: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: INNOVATIVE LIFE OF NEW JERSEY,2409 HUNTERS GLEN DR,PLAINSBORO,NJ,085363864,US
Mailing Address: INNOVATIVE LIFE OF NEW JERSEY,8484 GEORGIA AVE STE 900,SILVER SPRING,MD,209105604,US
Contact #
Practice location phone #: 3012704750
Practice location fax #:
Mailing address Phone #: 3012704750
Mailing Address fax #:
Authorized official Name/Telephone #:SHINAVIA, MCKINNEY, COO 3012704750
Misc
Date NPI was obtained: 08/30/2021
Last data data was updated: 08/30/2021
Insurances: