Organization
HOME AWAY FROM HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYAH MAHMOUD ZAYYAD (OWNER)
(609) 626-2122
Entity
Organization
Contact information
Practice address
174 SWEDESBORO RD, MULLICA HILL, NJ 08062-1822
(609) 626-2122
Mailing address
302 HOLLY ST, GLASSBORO, NJ 08028-2227
(609) 626-2122
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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