Healthcare Provider Details

I. General information

NPI: 1497892400
Provider Name (Legal Business Name): COMMINITY PROGRAMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 W LANDIS AVE
VINELAND NJ
08360-8105
US

IV. Provider business mailing address

423 W LANDIS AVE
VINELAND NJ
08360-8105
US

V. Phone/Fax

Practice location:
  • Phone: 856-691-8554
  • Fax: 856-696-8276
Mailing address:
  • Phone: 856-691-8554
  • Fax: 856-696-8276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number080671
License Number StateNJ

VIII. Authorized Official

Name: MR. LAWRENCE CARLIN
Title or Position: PRESIDENT
Credential:
Phone: 856-691-8554