Provider Demographics
NPI:1710367347
Name:PERSONALIZED INDEPENDENT LIVING OPPORUNTITIES & TRAINING SERVICES
Entity Type:Organization
Organization Name:PERSONALIZED INDEPENDENT LIVING OPPORUNTITIES & TRAINING SERVICES
Other - Org Name:P.I.L.O.T. SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HANNAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-906-0600
Mailing Address - Street 1:289 JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-2619
Mailing Address - Country:US
Mailing Address - Phone:856-809-0600
Mailing Address - Fax:856-809-0500
Practice Address - Street 1:5 REGENCY DR
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1356
Practice Address - Country:US
Practice Address - Phone:856-809-0600
Practice Address - Fax:856-809-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities