All Jersey Suppoted Living

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ALL JERSEY SUPPOTED LIVING

Practice address

1974 Birchwood Park Dr N
Cherry Hill, NJ 08003-1028

Phone

(609) 423-5263

NPI assigned

Jul 13, 2022

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pierre-Jacques Andre

Title

Ceo

Phone

(609) 423-5263

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1023742210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 BIRCHWOOD PARK DR N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031028",
            "telephone_number": "609-423-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 BIRCHWOOD PARK DR N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031028",
            "telephone_number": "609-423-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL JERSEY SUPPOTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "ANDRE",
        "authorized_official_first_name": "PIERRE-JACQUES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-423-5263"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.