Healthcare Provider Details
I. General information
NPI: 1538087135
Provider Name (Legal Business Name): SERENITY DAY HABILITATION 2
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 CORPORATE CIR
TOMS RIVER NJ
08755-4815
US
IV. Provider business mailing address
1 LINCOLN HWY STE 13
EDISON NJ
08820-3962
US
V. Phone/Fax
- Phone: 732-523-5221
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VISHAL
PATEL
Title or Position: PARTNER
Credential:
Phone: 732-523-5221