NPI 1588607725

State of New Jersey Omb Centralized Payroll

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Vineland, NJ

Practice location

Address: 1676 E Landis Ave, Vineland, NJ 08362-1513
Phone: (856) 696-6000
Fax: (856) 696-6056
Mailing address: PO Box 1513, Vineland, NJ 08362-1513

Authorised official

Name: Sarah Russell
Title: Business Manager
Phone: (856) 285-2266

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1588607725
Entity type: Organization
NPI issued: 14 Jun 2006
Record last updated: 9 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.