Organization
RESOURCES FOR INDEPENDENT LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MICHELLE KILLION-SMITH (EXECUTIVE DIRECTOR)
(609) 747-7745
Entity
Organization
Contact information
Practice address
195 N BROADWAY, PENNSVILLE, NJ 08070-1417
(856) 678-9400
(856) 678-9401
Mailing address
195 N BROADWAY, PENNSVILLE, NJ 08070-1417
(856) 678-9400
(856) 678-9401
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0374717
—
NJ
05
—
1962662692
—
NJ
Enumeration date
02/23/2021
Last updated
04/02/2024
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