Organization
HEALTH SERVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED M BAH MBA, PMP (OWNER)
(732) 309-7098
Entity
Organization
Contact information
Practice address
375 N MAIN ST STE C4, WILLIAMSTOWN, NJ 08094-1476
(856) 288-2878
Mailing address
30 STABLE CT, SICKLERVILLE, NJ 08081-5672
(732) 309-7098
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07249982
—
NJ
Enumeration date
06/19/2020
Last updated
02/09/2023
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