MEDICARE: THE ARC OF CAPE MAY COUNTY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	SA149	NJ

General Provider Information

NPI Number	:	1376068346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC OF CAPE MAY COUNTY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 255
Second Line	:
City	:	SOUTH DENNIS
State	:	NJ
Zip	:	08245-0255
Country	:	US
Telephone Number	:	609-861-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3910 BAYSHORE RD APT I3
Second Line	:
City	:	NORTH CAPE MAY
State	:	NJ
Zip	:	08204-3627
Country	:	US
Telephone Number	:	609-861-7100
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF COMPLIANCE
Name	:	SANDRA LEE DONLEY
Credential	:
Telephone Number	:	609-861-7000

Provider Enumeration Date	:	08/10/2017
Last Update Date	:	08/03/2021

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