Provider Demographics
NPI:1396397857
Name:VF SUPPORT SERVICES LLC
Entity Type:Organization
Organization Name:VF SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTULUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-579-4891
Mailing Address - Street 1:44 COOPER ST UNIT 208
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-4648
Mailing Address - Country:US
Mailing Address - Phone:856-579-4891
Mailing Address - Fax:
Practice Address - Street 1:44 COOPER ST UNIT 208
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-4648
Practice Address - Country:US
Practice Address - Phone:856-575-7032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-14
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities