# MIDLAND ADULT SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689309122
- **Authorized official:** SHAWN MICHAEL MCINERNEY (CEO/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (908) 722-8222

## Contact information

- **Practice address:** 3 TREEMAN DR UNIT 101, HILLSBOROUGH, NJ 08844-4777
- **Practice address phone:** (908) 722-8222
- **Mailing address:** PO BOX 5026, NORTH BRANCH, NJ 08876-5026
- **Mailing address phone:** (908) 722-8222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2022
- **Last updated:** 08/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0484831 | — | NJ |