Organization
FOUR CORNERS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMA JEANNETTE BAFFOE RN (PRESIDENT /CEO)
(973) 392-0430
Entity
Organization
Contact information
Practice address
35A WALL ST, OXFORD, NJ 07863-6616
(973) 392-0430
Mailing address
209 PASSAIC AVE, BELLEVILLE, NJ 07109-1960
(973) 392-0430
(973) 436-4714
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
03/26/2021
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