# IYAHO SOCIAL SERVICES OF NEW JERSEY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366939571
- **Authorized official:** HENRY EROMOSELE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (516) 280-5930

## Contact information

- **Practice address:** 137 EVERGREEN PL STE 3A, EAST ORANGE, NJ 07018-2007
- **Practice address phone:** (862) 253-4646
- **Mailing address:** 71 N FRANKLIN ST STE 211, HEMPSTEAD, NY 11550-3048
- **Mailing address phone:** (516) 280-5930
- **Mailing address fax:** (516) 280-5933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NJ | Yes |

## Other

- **Enumeration date:** 04/13/2018
- **Last updated:** 04/13/2018