Organization
SIERRA HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEELY FREEMAN (EXECUTIVE DIRECTOR)
(973) 678-3556
Entity
Organization
Contact information
Practice address
11 S MAPLE AVE, EAST ORANGE, NJ 07018-4010
(973) 678-3556
(973) 678-2721
Mailing address
70 CHESTNUT ST, EAST ORANGE, NJ 07018-3052
(973) 678-3556
(973) 678-2721
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
06/02/2015
Last updated
12/29/2025
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