Organization
WRIGHT INDEPENDENT LIFE OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELDRICK JERMAINE WRIGHT (EXECUTIVE DIRECTOR)
(973) 761-0800
Entity
Organization
Contact information
Practice address
13 BURR RD, MAPLEWOOD, NJ 07040-1408
(973) 761-0800
(973) 767-1001
Mailing address
515 VALLEY ST STE 180, MAPLEWOOD, NJ 07040-1389
(973) 761-0800
(973) 767-1001
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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