Vivion L Bambara
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lindenwold, New Jersey
1649857186- Practice location
- 101 E Gibbsboro RD Apt 1611, Lindenwold, NJ 08021-1923
- Phone
- 346-262-7732
- Fax
- —
- Last updated
- January 1, 2022
Vivion Larry Bambara is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities based in Lindenwold, NJ. Vivion Larry Bambara practices in Lindenwold, NJ. The NPI Number for Vivion Larry Bambara is 1649857186. The current practice location address for Vivion Larry Bambara is 101 E Gibbsboro RD Apt 1611, Lindenwold, NJ 08021-1923 and can be reached out via phone at 346-262-7732.
Provider Profile Details
- NPI Number
- 1649857186
- Provider Name
- Vivion Larry Bambara
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 101 E Gibbsboro RD Apt 1611, Lindenwold, NJ 08021-1923
- Phone Number
- 346-262-7732
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 29, 2021
- Last Update Date
- January 1, 2022
- Certification Date
- September 6, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 E Gibbsboro RD Apt 1611
Lindenwold, NJ 08021-1923 - City
- Lindenwold
- State
- New Jersey
- Zip
- 08021-1923
- Phone Number
- 346-262-7732
Provider Business Mailing Address Details
- Address
- 101 E Gibbsboro RD Apt 1611
Lindenwold, NJ 08021-1923 - City
- Lindenwold
- State
- NJ
- Zip
- 08021-1923
- Phone Number
- 346-262-7732
License Information
- Taxonomy (1)
- Day Training, Developmentally Disabled Services · 251C00000X
- Taxonomy (2)
- Clinic/Center, Adult Day Care · 261QA0600X
- License State (3)
- NJ
- Taxonomy (3)
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Vivion L Bambara?
The NPI number of Vivion L Bambara is 1649857186. It was assigned on March 29, 2021 and is currently active in the NPPES registry.
What is the specialty of Vivion L Bambara?
Vivion L Bambara is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Vivion L Bambara practice?
The practice location is 101 E Gibbsboro RD Apt 1611, Lindenwold, NJ 08021-1923. The office can be reached at 346-262-7732 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649857186 directly on the NPPES registry website.