Organization
BLUE PEAK ABILITY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE J WALLACE (CEO)
(856) 305-9827
Entity
Organization
Contact information
Practice address
43 SMITH TER, CLEMENTON, NJ 08021-4648
(856) 305-9827
Mailing address
43 SMITH TER, CLEMENTON, NJ 08021-4648
(856) 305-9827
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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