Vine Community

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1104377258

Vine Community is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Merchantville, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in: NJ
In the registry since: 2016

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Practice location Address checks out

35 W Maple Ave
Merchantville, NJ 08109-5141
Phone: (856) 324-0288

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X · Licence GH1827 (NJ)

Record details

NPI number	1104377258
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Amy Rohrer — Executive Director · (856) 324-0288
NPI enumerated	October 24, 2016
Last updated in NPPES	October 24, 2016
Mailing address	35 W Maple Ave, Merchantville, NJ 08109-5141