Organization
MIDLAND ADULT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MICHAEL MCINERNEY (CEO/EXECUTIVE DIRECTOR)
(908) 722-8222
Entity
Organization
Contact information
Practice address
3 TREEMAN DR UNIT 101, HILLSBOROUGH, NJ 08844-4777
(908) 722-8222
Mailing address
PO BOX 5026, NORTH BRANCH, NJ 08876-5026
(908) 722-8222
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484831
—
NJ
Enumeration date
07/19/2022
Last updated
08/05/2022
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