person
Wanda Ivette Lebron
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Toms River, New Jersey
NPI 1639884885

Wanda Ivette Lebron is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Toms River, NJ. Wanda Ivette Lebron practices in Toms River, NJ. The NPI Number for Wanda Ivette Lebron is 1639884885 and holds a License No. (New Jersey).

The current practice location address for Wanda Ivette Lebron is 2324 Pine Grove Ave, Toms River, NJ and can be reached out via phone at 570-520-8357.

Location: 2324 Pine Grove Ave, Toms River, NJ, 08753-6007
person
Provider Profile Details
NPI Number
1639884885
Provider Name
Wanda Ivette Lebron
Credential
Provider Entity Type
Individual
Gender
Female
Address
2324 Pine Grove Ave, Toms River, NJ, 08753-6007
Phone Number
570-520-8357
Fax Number
Provider Enumeration Date
01/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2324 Pine Grove Ave
City
State
Zip
08753-6007
Phone Number
570-520-8357
Fax Number
person
Provider Business Mailing Address Details
Address
2324 Pine Grove Ave
City
State
Zip
08753-6007
Phone Number
570-520-8357
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
License No.
(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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