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Organization
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Active
Organization
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Active
Other names
Spectrum for Living Group Homes, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G. MUILENBURG (CFO)
(201) 358-8000
Entity
Organization
Contact information
Practice address
107 VREELAND AVE, BERGENFIELD, NJ 07621-1928
(201) 384-9401
Mailing address
210 RIVERVALE RD APT 3, RIVER VALE, NJ 07675-6281
(201) 358-8000
(201) 358-8089
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
GH264
NJ
Other
Enumeration date
07/12/2017
Last updated
02/28/2020
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