Organization
MINDING MIRACLES LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH A DEMARCO (CEO)
(848) 757-2123
Entity
Organization
Contact information
Practice address
405 HIGHWAY 36, PORT MONMOUTH, NJ 07758-1323
(848) 757-2123
(732) 291-0502
Mailing address
204 WILSON AVE, PORT MONMOUTH, NJ 07758-1228
(732) 682-6645
(732) 769-2343
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
12MIN0001
NJ
261QA0600X
Adult Day Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490113
—
NJ
Enumeration date
08/17/2010
Last updated
04/21/2024
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