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NPI Code Detail

MEDICARE: YAHWEH SOCIAL SERVICES INC

MEDICARE: YAHWEH SOCIAL SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency
2373H00000XDay Training/Habilitation Specialist
3385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
4261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1821894502
Entity Type Code : Organization
Provider Name (Legal Business Name) : YAHWEH SOCIAL SERVICES INC
Provider Business Mailing Address
First Line : 137 EVERGREEN PL STE 2C
Second Line :
City : EAST ORANGE
State : NJ
Zip : 07018-2007
Country : US
Telephone Number : 516-450-2207
Fax Number :
Provider Business Practice Location Address
First Line : 56 COLUMBIA ST
Second Line :
City : WEST ORANGE
State : NJ
Zip : 07052-5508
Country : US
Telephone Number : 516-450-2207
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : REKHIA FLOXY BRAIMAH
Credential :
Telephone Number : 516-450-2207
Provider Enumeration Date : 02/22/2025
Last Update Date : 02/22/2025

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Directions to “YAHWEH SOCIAL SERVICES INC ” Practice Location

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