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NPI Code Detail

MEDICARE: COMMUNITY OPTIONS, INC

MEDICARE: COMMUNITY OPTIONS, INC
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1982074472
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY OPTIONS, INC
Provider Business Mailing Address
First Line : 16 FARBER RD
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-5913
Country : US
Telephone Number : 609-951-9900
Fax Number :
Provider Business Practice Location Address
First Line : 1171 GALLEY AVE
Second Line :
City : STAFFORD TWP
State : NJ
Zip : 08050-2228
Country : US
Telephone Number : 609-951-9900
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : DAVID SWEENEY
Credential : MBA,CPA
Telephone Number : 609-951-9900
Provider Enumeration Date : 09/28/2015
Last Update Date : 09/28/2015

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Directions to “COMMUNITY OPTIONS, INC ” Practice Location

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