Organization · Type 2 NPI
Vine Community
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Merchantville, NJ
Practice location
35 W Maple Ave
Merchantville, NJ 08109-5141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | GH1827 (NJ) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1104377258
Vine Community's National Provider Identifier is 1104377258, issued on Oct 24, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Merchantville, NJ. The record was last updated on Oct 24, 2016.