National Provider Identifier Database

WILLOWGLEN ACADEMY NEW JERSEY INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

WILLOWGLEN ACADEMY-NEW JERSEY, INC.
110 LAUREL LANE WEST
MOUNT LAUREL, NJ08054
Phone: 973-579-3700
Fax: 973-579-1786
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for WILLOWGLEN ACADEMY-NEW JERSEY, INC.

NPI Number 1114302882
Legal business name
LBN
WILLOWGLEN ACADEMY-NEW JERSEY, INC.
Authorized official PATRICIA BATES - (CONTROLLER)
Entity Organization
Organization subpart Yes
Enumeration date 07/23/2015
Last updated 07/23/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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