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Mr. Laquan R Shamberger
Child Intellectual and/or Developmental Disabilities Respite Care in Maplewood, New Jersey
NPI 1497400501

Laquan R Shamberger is a Child Intellectual and/or Developmental Disabilities Respite Care based in Maplewood, NJ and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Laquan R Shamberger practices in Maplewood, NJ. The NPI Number for Laquan R Shamberger is 1497400501 and holds a License No. (New Jersey).

The current practice location address for Laquan R Shamberger is 109 Woodside Rd, Maplewood, NJ and can be reached out via phone at 862-703-8237.

Location: 109 Woodside Rd, Maplewood, NJ, 07040-1950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497400501
Provider Name
Laquan R Shamberger
Credential
Provider Entity Type
Individual
Gender
Male
Address
109 Woodside Rd, Maplewood, NJ, 07040-1950
Phone Number
862-703-8237
Fax Number
Provider Enumeration Date
02/16/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121224 05 NJ
institution
Provider Business Practice Location Address Details
Address
109 Woodside Rd
City
Maplewood
State
New Jersey
Zip
07040-1950
Phone Number
862-703-8237
Fax Number
person
Provider Business Mailing Address Details
Address
109 Woodside Rd
City
Maplewood
State
New Jersey
Zip
07040-1950
Phone Number
862-703-8237
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
(New Jersey)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
385HR2065X
License No.
(New Jersey)
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
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