Provider Demographics
NPI:1154700631
Name:THE ARC OF MONMOUTH
Entity type:Organization
Organization Name:THE ARC OF MONMOUTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-493-1919
Mailing Address - Street 1:1433 ROUTE 34 STE A2
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07727-1603
Mailing Address - Country:US
Mailing Address - Phone:732-686-1105
Mailing Address - Fax:732-256-4101
Practice Address - Street 1:1345 CAMPUS PKWY STE A9
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07753-6828
Practice Address - Country:US
Practice Address - Phone:732-686-1105
Practice Address - Fax:732-256-4101
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ARC OF MONMOUTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-29
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services