Provider Demographics
NPI:1689274284
Name:HEALTH FOCUSED LIVING
Entity Type:Organization
Organization Name:HEALTH FOCUSED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:PLACID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-553-7551
Mailing Address - Street 1:713 WHALERS DR
Mailing Address - Street 2:
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-2840
Mailing Address - Country:US
Mailing Address - Phone:609-553-7551
Mailing Address - Fax:
Practice Address - Street 1:713 WHALERS DR
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-2840
Practice Address - Country:US
Practice Address - Phone:609-553-7551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services