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Beacon Specialized Living New Jersey, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Shamong, NJ

NPI 1750158960 · NPPES record last updated Feb 8, 2024

Key facts

NPI
1750158960
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
BEACON SPECIALIZED LIVING NEW JERSEY, INC.
Practice address
191 Willow Grove Rd
Shamong, NJ 08088-8974
Phone
(609) 987-5003
NPI assigned
Dec 7, 2023
Organization subpart
No

Authorized official

Name
Darren Hodgdon
Title
President
Phone
(269) 427-8400

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Beacon Specialized Living New Jersey Inc (61 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes

Addresses

Primary practice location

191 Willow Grove Rd
Shamong, NJ 08088-8974

Mailing address

13 Roszel Rd Ste B110
Princeton, NJ 08540-6211
Phone (609) 987-5003

Other providers in Shamong, NJ

All providers in Shamong, NJ · Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.