INNOVATIVE LIFE OF NEW JERSEY is a community based residential treatment facility, intellectual and/or developmental disabilities in Brick, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. INNOVATIVE LIFE OF NEW JERSEY NPI is 1356091722. The provider is registered as an organization entity type.
The provider's business location address is:
175 CHAMBERS BRIDGE RD APT 143
BRICK, NJ
ZIP 08723-504
Phone: (301) 270-4750
The provider's authorized official is Shinavia Mckinney .
The authorized official title is Coo and has the following contact phone number (301) 270-4750.
The enumeration date for this NPI number is 3/28/2022 and was last updated on 3/28/2022.