Organization
MIDLAND ADULT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MICHAEL MCINERNEY (EXECUTIVE DIRECTOR)
(908) 722-8222
Entity
Organization
Contact information
Practice address
2 TREEMAN DR UNIT 301, HILLSBOROUGH, NJ 08844-4774
(908) 347-0487
Mailing address
94 READINGTON RD, BRANCHBURG, NJ 08876-3414
(908) 722-8222
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484831
—
NJ
Enumeration date
09/15/2021
Last updated
09/15/2021
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