Provider Demographics
NPI:1235665456
Name:QMANJ, INC.
Entity Type:Organization
Organization Name:QMANJ, INC.
Other - Org Name:QMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-735-1011
Mailing Address - Street 1:700 CINNAMINSON AVE
Mailing Address - Street 2:BLDG B
Mailing Address - City:PALMYRA
Mailing Address - State:NJ
Mailing Address - Zip Code:08065-2500
Mailing Address - Country:US
Mailing Address - Phone:856-735-1034
Mailing Address - Fax:856-727-8899
Practice Address - Street 1:700 CINNAMINSON AVE
Practice Address - Street 2:BLDG B
Practice Address - City:PALMYRA
Practice Address - State:NJ
Practice Address - Zip Code:08065-2500
Practice Address - Country:US
Practice Address - Phone:856-735-1034
Practice Address - Fax:856-727-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-08
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251C00000X
NJGH1128A320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities