Provider Demographics
NPI:1205484086
Name:MICHNAD & ASSOCIATES LLC
Entity type:Organization
Organization Name:MICHNAD & ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER RN, BS/CAIA
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:DESLOGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-744-3000
Mailing Address - Street 1:139 TOLEDO LANE
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046
Mailing Address - Country:US
Mailing Address - Phone:609-744-3000
Mailing Address - Fax:
Practice Address - Street 1:10 OAKDALE DRIVE
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332
Practice Address - Country:US
Practice Address - Phone:856-300-5044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICHNAD & ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-26
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities