Organization
LEONE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX ALIE FALLAH (PRESIDENT)
(240) 476-0663
Entity
Organization
Contact information
Practice address
396 GIRARD AVE, SOMERSET, NJ 08873-3036
(240) 476-0663
Mailing address
396 GIRARD AVE, SOMERSET, NJ 08873-3036
(240) 476-0663
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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