Provider Demographics
NPI:1881073385
Name:THE ARC OF MONMOUTH
Entity type:Organization
Organization Name:THE ARC OF MONMOUTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-493-1919
Mailing Address - Street 1:3710 ROUTE 9 S
Mailing Address - Street 2:FREEHOLD RACEWAY MALL, SUITE 2101
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-4801
Mailing Address - Country:US
Mailing Address - Phone:732-866-0435
Mailing Address - Fax:732-866-0137
Practice Address - Street 1:3710 ROUTE 9 S
Practice Address - Street 2:FREEHOLD RACEWAY MALL, SUITE 2101
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4801
Practice Address - Country:US
Practice Address - Phone:732-866-0435
Practice Address - Fax:732-866-0137
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ARC OF MONMOUTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-29
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services