National Mentor Healthcare, Llc

Specialty details in registry · Egg Harbor Twp, NJ

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At a glance

204 Blue Spruce Ave, Egg Harbor Twp, NJ 08234-2218

NPPES record updated Mar 4, 2023. Public records can lag behind changes at a practice.

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Practice location

204 Blue Spruce Ave
Egg Harbor Twp, NJ 08234-2218

Professional details: NPI, taxonomy & registry record

NPI1033599287

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 320900000X
Enumeration date: Jun 3, 2015
Record updated: Mar 4, 2023

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

320900000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

204 Blue Spruce Ave
Egg Harbor Twp, NJ 08234-2218

Phone: (732) 627-9890

Mailing address

80 COTTONTAIL LN
SUITE 330
SOMERSET, NJ 088731100

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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