# SIERRA SOCIAL SERVICES

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

## Provider details

- **NPI number:** 1538600689
- **Authorized official:** MOHAMED T FOFANAH (CO-FOUNDER)
- **Authorized official phone:** (732) 423-5397

## Contact information

- **Practice address:** 15 HILL RD, EDISON, NJ 08817-4603
- **Practice address phone:** (732) 423-5397
- **Mailing address:** 15 HILL RD, EDISON, NJ 08817-4603
- **Mailing address phone:** (732) 423-5397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/09/2017