Crescent Ave Supported Living

LBN: Crescent Ave Supported Living
Crescent Ave Supported Living is an health care organization with primary practice located at 125 Crescent Ave , Woodbury NJ 08096-5001. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Crescent Ave Supported Living can be contacted via phone (856) 767-3650, or through Schwarz, Michelle via phone (856) 768-8801.

Contact Information

Primary practice address
125 Crescent Ave Woodbury NJ 08096-5001
Phone: (856) 767-3650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schwarz, Michelle
Phone: (856) 768-8801

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1457867368
LBN Legal business name Crescent Ave Supported Living
DBA Doing business as
Authorized official Schwarz, Michelle
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 15th, 2017
Last updated Dec 15th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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