Organization
THE ARC OF MONMOUTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MAYO (EXECUTIVE DIRECTOR)
(732) 493-1919
Entity
Organization
Contact information
Practice address
1200 WAYSIDE ROAD APT 212, WAYSIDE OAKS, TINTON FALLS, NJ 07712
(732) 686-1520
(732) 686-1571
Mailing address
1158 WAYSIDE ROAD, TINTON FALLS, NJ 07712
(732) 493-1919
(732) 493-3604
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
SA2137
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462985
—
NJ
Enumeration date
10/03/2017
Last updated
10/03/2017
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