MEDICARE: SERV ACHIEVEMENT CENTERS, 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

General Provider Information

NPI Number	:	1811418908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERV ACHIEVEMENT CENTERS, INC

Provider Business Mailing Address
First Line	:	20 SCOTCH RD
Second Line	:
City	:	EWING
State	:	NJ
Zip	:	08628-2529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 LOHLI DR
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08690-2412
Country	:	US
Telephone Number	:	609-586-0294
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	ROBERT BACON
Credential	:
Telephone Number	:	609-662-3202

Provider Enumeration Date	:	06/29/2017
Last Update Date	:	03/01/2024

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