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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