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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.

physician-icon Basic Information

Practice Location 33 Piermont Rd Apt 2, Rockleigh, NJ 07647-2713, US
Practice Location Phone201-750-2763
Practice Location Fax
Legal Business NameSPECTRUM FOR LIVING GROUP HOMES, INC.
NPI ?1215459979
Entity TypeOrganization
Enumeration Date ? Jul 13, 2017
Last Update Date ? Jul 13, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Spectrum For Living Group Homes, Inc.

SpecialtySpecializationLicenseLicense State
Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities SA648New Jersey

legacy-id-icon Legacy Provider IDs of Spectrum For Living Group Homes, Inc.

Provider IdIssuer StateIssuer TypeIssuer
0536521New JerseyMedicaid

official-icon 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/PositionPRESIDENT/CEO
Authorized Official Phone Number201-358-5063