Organization
FOUR CORNERS COMMUNITY SERVICES
Active
Parent organization
FOUR CORNERS COMMUNITY SERVICES
Other names
Excel Day Habilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR CORNERS COMMUNITY SERVICES
Authorized official
AMA J BAFFOE (EXECUTIVE DIRECTOR)
(973) 392-0430
Entity
Organization
Contact information
Practice address
35B WALL ST, OXFORD, NJ 07863-6618
(973) 436-4704
(973) 436-4704
Mailing address
209 PASSAIC AVE, BELLEVILLE, NJ 07109-1960
(973) 436-4704
(973) 436-4704
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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