Organization
21 PLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID VELARDO (EXECUTIVE)
(732) 240-3118
Entity
Organization
Contact information
Practice address
416 WATERS EDGE DR, TOMS RIVER, NJ 08753-2668
(732) 929-3748
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
09/13/2017
Last updated
09/13/2017
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