Provider Demographics
NPI:1053790675
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:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-493-1919
Mailing Address - Street 1:200 CAMPUS DR
Mailing Address - Street 2:SUITE 200F
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-2100
Mailing Address - Country:US
Mailing Address - Phone:732-536-8081
Mailing Address - Fax:732-536-8373
Practice Address - Street 1:200 CAMPUS DR
Practice Address - Street 2:SUITE 200F
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-2100
Practice Address - Country:US
Practice Address - Phone:732-536-8081
Practice Address - Fax:732-536-8373
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ARC OF MONMOUTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-28
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services