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Vine Community
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Merchantville, New Jersey
NPI 1104377258

Vine Community is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Merchantville, NJ. Vine Community practices in Merchantville, NJ. The NPI Number for Vine Community is 1104377258 and holds a License No. GH1827 (New Jersey).

The current practice location address for Vine Community is 35 W Maple Ave, Merchantville, NJ and can be reached out via phone at 856-324-0288.

Location: 35 W Maple Ave, Merchantville, NJ, 08109-5141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104377258
Provider Name
Vine Community
Credential
Provider Entity Type
Organization
Address
35 W Maple Ave, Merchantville, NJ, 08109-5141
Phone Number
856-324-0288
Fax Number
Provider Enumeration Date
10/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
35 W Maple Ave
City
Merchantville
State
New Jersey
Zip
08109-5141
Phone Number
856-324-0288
Fax Number
person
Provider Business Mailing Address Details
Address
35 W Maple Ave
City
Merchantville
State
New Jersey
Zip
08109-5141
Phone Number
856-324-0288
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
GH1827 (New Jersey)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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