Spectrum For Living Group Homes, Inc.
Spectrum For Living Group Homes, Inc. is a health care provider in River Vale, NJ. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 33 Piermont Rd Apt 2, Rockleigh, NJ 07647-2713, US |
|Practice Location Phone||201-750-2763|
|Practice Location Fax|
|Legal Business Name||SPECTRUM FOR LIVING GROUP HOMES, INC.|
|Enumeration Date ? ||Jul 13, 2017|
|Last Update Date ? ||Jul 13, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Spectrum For Living Group Homes, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities|| ||SA648||New Jersey|
Legacy Provider IDs of Spectrum For Living Group Homes, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Spectrum For Living Group Homes, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Spectrum For Living Group Homes, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Mark T. Michelson|
|Authorized Official Title/Position||PRESIDENT/CEO|
|Authorized Official Phone Number||201-358-5063|