Healthcare Provider Details

I. General information

NPI: 1275440778
Provider Name (Legal Business Name): RESOURCES FOR INDEPENDENT LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BRIDGETON AVE
BRIDGETON NJ
08302-4810
US

IV. Provider business mailing address

601 BRIDGETON AVE
BRIDGETON NJ
08302-4810
US

V. Phone/Fax

Practice location:
  • Phone: 856-825-0255
  • Fax: 856-678-9401
Mailing address:
  • Phone: 856-825-0255
  • Fax: 856-678-9401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: LISA KILLION-SMITH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 609-747-7745