Provider Demographics
NPI:1225660780
Name:ARC OF HUNTERDON COUNTY
Entity Type:Organization
Organization Name:ARC OF HUNTERDON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIALFONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-730-7827
Mailing Address - Street 1:1465 STATE ROUTE 31 S STE 23
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3131
Mailing Address - Country:US
Mailing Address - Phone:908-730-7827
Mailing Address - Fax:
Practice Address - Street 1:1465 STATE ROUTE 31 S STE 23
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:NJ
Practice Address - Zip Code:08801-3131
Practice Address - Country:US
Practice Address - Phone:908-730-7827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0478059Medicaid