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Organization

21 PLUS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID VELARDO (EXECUTIVE DIRECTOR)
(732) 240-3118
Entity
Organization

Contact information

Practice address
1309 LONGBOAT AVE, BEACHWOOD, NJ 08722-4303
(732) 341-9471
Mailing address
252 WASHINGTON ST, TOMS RIVER, NJ 08753-7582
(732) 240-3118
(732) 240-3381

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0465721
NJ
Enumeration date
05/03/2017
Last updated
05/03/2017
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