Organization
MIDLAND ADULT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MICHAEL MCINERNEY (CHIEF EXECUTIVE OFFICER)
(908) 722-8222
Entity
Organization
Contact information
Practice address
2 CORPORAL LANGDON WAY, APT 113, HILLSBOROUGH, NJ 08844
(908) 722-8222
(908) 722-3134
Mailing address
PO BOX 5026, 9, BRANCHBURG, NJ 08844
(908) 722-8222
(908) 722-3134
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
01/31/2018
Last updated
01/31/2018
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