Organization
SIERRA SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED T FOFANAH (CO-FOUNDER)
(732) 423-5397
Entity
Organization
Contact information
Practice address
15 HILL RD, EDISON, NJ 08817-4603
(732) 423-5397
Mailing address
15 HILL RD, EDISON, NJ 08817-4603
(732) 423-5397
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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