NPI 1093566242
Beacon Specialized Living New Jersey, INC.
Practice location
- Address
- 53 Pond Ln, Willingboro, NJ 08046-2756
- Phone
- (609) 987-5003
- Mailing address
- 13 Roszel Rd STE B110, Princeton, NJ 08540-6211
Authorised official
- Name
- Darren Hodgdon
- Title
- Chief Executive Officer
- Phone
- (269) 427-8400
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1093566242
- Entity type
- Organization
- NPI issued
- 27 Mar 2024
- Record last updated
- 27 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.