Organization
2B INDEPENDENT LIVING CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LARESCH (PRESIDENT)
(609) 409-1007
Entity
Organization
Contact information
Practice address
2 GEOFFREY CT, MONROE TWP, NJ 08831-2613
(609) 409-1007
(609) 409-1007
Mailing address
2 GEOFFREY CT, MONROE TWP, NJ 08831-2613
(609) 409-1007
(609) 409-1007
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/05/2015
Last updated
09/05/2015
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