EDEN AUTISM SERVICES. NPI 1043695349

NPI Information

NPI: 1043695349
Provider Name: EDEN AUTISM SERVICES.

Other Name: AVALON RUN

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
11132 E RUN DR
LAWRENCEVILLE, NJ
ZIP 08648
Phone: (609) 799-0928
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EDEN AUTISM SERVICES. is a residential treatment facility, intellectual and/or developmental disabilities in Lawrenceville, NJ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. EDEN AUTISM SERVICES. NPI is 1043695349. The provider is registered as an organization entity type.
The provider Other Name Is Avalon Run.

The provider's business location address is:

11132 E RUN DR
LAWRENCEVILLE, NJ
ZIP 08648-234
Phone: (609) 799-0928

The provider's authorized official is Jamie K. Douglas. .
The authorized official title is Managing Director Adult Services and has the following contact phone number (609) 987-0099.

The enumeration date for this NPI number is 7/28/2015 and was last updated on 8/31/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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