IndividualActive
Laquan Shamberger
NPI 1497400501 · Child Intellectual and/or Developmental Disabilities Respite Care · Maplewood, NJ
Provider details
- NPI number
- 1497400501
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respite Care Facility
- Child Physical Disabilities Respite Care385HR2065X
Respite Care Facility
Practice location
109 Woodside Rd
Maplewood, NJ 07040-1950
Phone: (862) 703-8237
Approximate (ZIP-level) locationGet directions
Mailing address
109 Woodside Rd
Maplewood, NJ 07040-1950
Registry dates
- Enumerated
- 2022-02-16
- Last updated
- 2022-02-16
- Certified
- 2022-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.