Provider Demographics
NPI:1497126742
Name:MIDLAND ADULT SERVICES, INC.
Entity type:Organization
Organization Name:MIDLAND ADULT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCINERNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-722-8222
Mailing Address - Street 1:PO BOX 5026
Mailing Address - Street 2:94 READINGTON ROAD
Mailing Address - City:NORTH BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-5026
Mailing Address - Country:US
Mailing Address - Phone:908-722-8222
Mailing Address - Fax:908-722-3134
Practice Address - Street 1:60 INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3425
Practice Address - Country:US
Practice Address - Phone:908-722-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services