Organization
FAMILY SUPPORT SOCIAL SERVICES, LLC
Active
Parent organization
FAMILY SUPPORT SOCIAL SERVICES, LLC
Other names
Family Support Social Services, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY SUPPORT SOCIAL SERVICES, LLC
Authorized official
BIBIANA ACHOLONU (DIRECTOR)
(856) 404-2396
Entity
Organization
Contact information
Practice address
20 MULLEN DR, SICKLERVILLE, NJ 08081-1660
(856) 404-2396
Mailing address
20 MULLEN DR, SICKLERVILLE, NJ 08081-1660
(856) 404-2396
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450864266
BUSINESS LICENSE
NJ
Enumeration date
11/17/2022
Last updated
11/17/2022
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