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Organization
VDB ENTERPRISES, LLC
Active
Organization
VDB ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGILIO CARABALLO (PRESIDENT & CEO)
(201) 478-4200
Entity
Organization
Contact information
Practice address
18-01 POLLITT DR, SUITE 1A, FAIR LAWN, NJ 07410-2813
(201) 478-4200
(201) 478-4201
Mailing address
18-01 POLLITT DRIVE, SUITE 1A, FAIR LAWN, NJ 07410-2815
(201) 478-4200
(201) 478-4201
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NJ
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
10/01/2008
Last updated
04/16/2025
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