MEDICARE: THE ARC MIDDLESEX COUNTY

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	:	1942727854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC MIDDLESEX COUNTY

Provider Business Mailing Address
First Line	:	219 BLACK HORSE LN STE 1
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-4301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 PROSPECT PLAINS RD
Second Line	:
City	:	MONROE TWP
State	:	NJ
Zip	:	08831-3712
Country	:	US
Telephone Number	:	609-655-2783
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	FRANCIS ADU
Credential	:
Telephone Number	:	732-821-1199

Provider Enumeration Date	:	08/23/2017
Last Update Date	:	08/23/2017

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Directions to “THE ARC MIDDLESEX COUNTY ” Practice Location

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