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	:	1922826296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC MIDDLESEX COUNTY

Provider Business Mailing Address
First Line	:	1100 CORNWALL RD STE 100
Second Line	:
City	:	MONMOUTH JUNCTION
State	:	NJ
Zip	:	08852-2441
Country	:	US
Telephone Number	:	732-821-1199
Fax Number	:	732-247-5590

Provider Business Practice Location Address
First Line	:	211 HENDERSON RD UNIT 4211
Second Line	:
City	:	MONMOUTH JUNCTION
State	:	NJ
Zip	:	08852-4226
Country	:	US
Telephone Number	:	732-821-1199
Fax Number	:	732-247-5590

Authorized Official
Title or Position	:	CHIEF PROGRAM OFFICER
Name	:	MRS. ADRIAN MELISSA BROWN
Credential	:
Telephone Number	:	732-821-1199

Provider Enumeration Date	:	09/26/2024
Last Update Date	:	09/26/2024

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Directions to “THE ARC MIDDLESEX COUNTY ” Practice Location

Language	Start Address	Practice Location

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