Four Corners Community Services LLC

NPI #1164009627 in Belleville, New Jersey

Provider Information

NPI Number
1164009627
Entity Type
Organization
Organization Name
Four Corners Community Services LLC
Primary Specialty
Occupational Therapist
Enumeration Date
Mar 29, 2021
Last Updated
Mar 29, 2021

Practice Location

Address
209 PASSAIC AVE
ZIP Code
07109-1960
Phone
(973) 392-0430

Authorized Official

Name
AMA J BAFFOE, RN
Title
DIRECTOR
Phone
(973) 392-0430

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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