Organization
VINECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIMBOLA YOLOYE (CHIEF OPERATING OFFICER)
(646) 472-4453
Entity
Organization
Contact information
Practice address
27 KINGSLEY RD, KENDALL PARK, NJ 08824-1146
(732) 823-1912
Mailing address
2005 DAHLIA CIR, DAYTON, NJ 08810-1478
(646) 472-4453
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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