Organization
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Active
Other names
Spectrum for Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARMINE G MARCHIONDA LNHA, MBA, MPHA (PRESIDENT/CEO)
(201) 358-8086
Entity
Organization
Contact information
Practice address
50 BLANCH AVE, CLOSTER, NJ 07624-1228
(201) 784-9400
Mailing address
210 RIVERVALE RD, RIVERVALE, NJ 07675-6281
(201) 358-8000
(201) 358-8089
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
83011
NJ
315P00000X
Intellectual Disabilities Intermediate Care Facility
31G012
NJ
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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