Organization
SIROV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IREN GHAZERIAN (OWNER/MANAGER)
(856) 313-6018
Entity
Organization
Contact information
Practice address
5 HOGAN WAY, MOORESTOWN, NJ 08057-3837
(856) 313-6018
Mailing address
5 HOGAN WAY, MOORESTOWN, NJ 08057-3837
(856) 313-6018
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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