OrganizationActive
Life Styles Supports, Inc.
NPI 1932511458 · Child Intellectual and/or Developmental Disabilities Respite Care · Sewell, NJ
Provider details
- NPI number
- 1932511458
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Diane Hernandez, Executive Director(856) 589-5640
Specialties & taxonomies
Respite Care Facility
- In Home Supportive Care Agency253Z00000X
Agencies
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Private Vehicle347C00000X
Transportation Services
Practice location
116 Densten Rd
Sewell, NJ 08080-1890
Phone: (856) 589-5640
Fax: (856) 589-1516
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 594
Sewell, NJ 08080-0594
Registry dates
- Enumerated
- 2014-06-02
- Last updated
- 2020-06-16
- Certified
- 2020-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.