Healthcare Provider Details
I. General information
NPI: 1851118756
Provider Name (Legal Business Name): THE ARC/MERCER INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2024
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6 KIM VALLEY RD
HAMILTON NJ
08620-2612
US
IV. Provider business mailing address
180 EWINGVILLE RD
EWING NJ
08638-2425
US
V. Phone/Fax
- Phone: 609-406-0181
- Fax:
- Phone: 609-643-5220
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320600000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
KEARNS
Title or Position: ASSOCIATE EXECUTIVE DIRECTOR
Credential:
Phone: 609-406-0181