Spectrum For Living Development, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wall Township, New Jersey
1811379316- Practice location
- 1633 18TH Ave, Wall Township, NJ 07719-3723
- Phone
- 732-681-9437
- Fax
- —
- Last updated
- February 28, 2020
Spectrum For Living Development, INC. is a healthcare organization based in Wall Township, NJ. Spectrum For Living Development, INC. practices in Wall Township, NJ. The NPI Number for Spectrum For Living Development, INC. is 1811379316 and holds a License No. WallGH1807 (NJ). The current practice location address for Spectrum For Living Development, INC. is 1633 18TH Ave, Wall Township, NJ 07719-3723 and can be reached out via phone at 732-681-9437.
Provider Profile Details
- NPI Number
- 1811379316
- Provider Name
- Spectrum For Living Development, INC.
- Provider Entity Type
- Organization
- Address
- 1633 18TH Ave, Wall Township, NJ 07719-3723
- Phone Number
- 732-681-9437
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- William G. Muilenburg · Cfo · 201-358-8000
- Provider Enumeration Date
- June 22, 2015
- Last Update Date
- February 28, 2020
- Certification Date
- February 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1633 18TH Ave
Wall Township, NJ 07719-3723 - City
- Wall Township
- State
- New Jersey
- Zip
- 07719-3723
- Phone Number
- 732-681-9437
Provider Business Mailing Address Details
- Address
- 210 Rivervale RD
Suite 3
Rivervale, NJ 07675-6281 - City
- Rivervale
- State
- NJ
- Zip
- 07675-6281
- Phone Number
- 201-358-8000
- Fax Number
- 201-358-8089
License Information
- License Number
- WallGH1807
- License State
- NJ
- Taxonomy
- 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 Spectrum For Living Development, INC.?
The NPI number of Spectrum For Living Development, INC. is 1811379316. It was assigned on June 22, 2015 and is currently active in the NPPES registry.
What is the specialty of Spectrum For Living Development, INC.?
Spectrum For Living Development, INC. is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in NJ under license number WallGH1807.
Where does Spectrum For Living Development, INC. practice?
The practice location is 1633 18TH Ave, Wall Township, NJ 07719-3723. The office can be reached at 732-681-9437 (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 1811379316 directly on the NPPES registry website.