NPI 1689377210
Beacon Specialized Living New Jersey, INC.
Practice location
- Address
- Forge at Manalapan Crossing 400 Crossing Lane, Apartment 309, Manalapan, NJ 07726
- Phone
- (732) 677-1164
- 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
- 1689377210
- Entity type
- Organization
- NPI issued
- 23 Mar 2023
- Record last updated
- 8 Feb 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.