Organization
COMMUNITY ACCESS UNLIMITED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY BLANCHARD (EXECUTIVE DIRECTOR)
(908) 354-3040
Entity
Organization
Contact information
Practice address
70 MYRTLE ST, CRANFORD, NJ 07016-3469
(908) 967-6484
Mailing address
80 W GRAND ST, ELIZABETH, NJ 07202-1471
(908) 354-3040
(908) 354-6175
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0374725
—
NJ
Enumeration date
06/08/2015
Last updated
03/09/2020
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