Wanda Ivette Lebron
Wanda Ivette Lebron is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Toms River, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2023
Practice location Address checks out
2324 Pine Grove AveToms River, NJ 08753-6007
Phone: (570) 520-8357
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (NJ) |
|---|
Record details
| NPI number | 1639884885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 20, 2023 |
| Last updated in NPPES | January 20, 2023 |
| Certification date | January 20, 2023 |
| Mailing address | 2324 Pine Grove Ave, Toms River, NJ 08753-6007 |
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