Vivion Larry Bambara
Vivion Larry Bambara is a Developmentally Disabled Services Day Training Agency in Lindenwold, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
101 E Gibbsboro Rd Apt 1611Lindenwold, NJ 08021-1923
Phone: (346) 262-7732
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (NJ) |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X |
Record details
| NPI number | 1649857186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2021 |
| Last updated in NPPES | January 1, 2022 |
| Certification date | September 6, 2021 |
Other providers in Lindenwold
-
Destiny Care and Transportation
1801 Laurel Rd Unit 903, Lindenwold, NJ 08021-6737 · (609) 880-4575