Provider Demographics
NPI:1588200927
Name:MUZIQUE
Entity Type:Organization
Organization Name:MUZIQUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARLY
Authorized Official - Middle Name:BLYNN
Authorized Official - Last Name:MUZALIER
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:609-670-8619
Mailing Address - Street 1:211 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:NJ
Mailing Address - Zip Code:08049-1030
Mailing Address - Country:US
Mailing Address - Phone:609-670-8619
Mailing Address - Fax:
Practice Address - Street 1:22 E GLOUCESTER PIKE
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08007-1329
Practice Address - Country:US
Practice Address - Phone:609-670-8619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child