Healthcare Provider Details

I. General information

NPI: 1497135271
Provider Name (Legal Business Name): THE ARC OF ESSEX COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 01/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BURNETT AVE #58
MAPLEWOOD NJ
07040-2968
US

IV. Provider business mailing address

123 NAYLON AVE
LIVINGSTON NJ
07039-1005
US

V. Phone/Fax

Practice location:
  • Phone: 973-535-1181
  • Fax:
Mailing address:
  • Phone: 973-535-1181
  • Fax: 973-422-0359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA LUCAS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 973-535-1181