Provider Demographics
NPI:1194138644
Name:ARC OF NEW JERSEY INC, ARC CUMBERLAND
Entity type:Organization
Organization Name:ARC OF NEW JERSEY INC, ARC CUMBERLAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:U
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:8566-919-1338
Mailing Address - Street 1:1680 W SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6917
Mailing Address - Country:US
Mailing Address - Phone:856-691-9138
Mailing Address - Fax:856-563-0221
Practice Address - Street 1:1680 W SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6917
Practice Address - Country:US
Practice Address - Phone:856-691-9138
Practice Address - Fax:856-563-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp