Organization
IYAHO SOCIAL SERVICES OF NEW JERSEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY EROMOSELE (EXECUTIVE DIRECTOR)
(516) 280-5930
Entity
Organization
Contact information
Practice address
491 MANALAPAN RD STE 7, SPOTSWOOD, NJ 08884-1891
(516) 280-5930
(516) 280-5933
Mailing address
137 EVERGREEN PL STE 3B, EAST ORANGE, NJ 07018-2007
(516) 280-5930
(516) 280-5930
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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