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Organization

FOUR CORNERS COMMUNITY SERVICES LLC

Active
Parent organization
FOUR CORNERS COMMUNITY SERVICES LLC
Other names
Excel Day Habilitation Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
FOUR CORNERS COMMUNITY SERVICES LLC
Authorized official
MS. AMA J BAFFOE (EXECUTIVE DIRECTOR)
(973) 436-4704
Entity
Organization

Contact information

Practice address
35A WALL ST, OXFORD, NJ 07863-6616
(973) 436-4704
(973) 436-4714
Mailing address
209 PASSAIC AVENUE, FL 1, BELLEVILLE, NJ 07109
(973) 436-4704
(973) 436-4714

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
251S00000X
Community/Behavioral Health Agency
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
03/22/2021
Last updated
03/22/2021
About Stedi
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