Provider Demographics
NPI:1780273300
Name:ERIAMIATOE, FRANCA
Entity type:Individual
Prefix:
First Name:FRANCA
Middle Name:
Last Name:ERIAMIATOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1252 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-2422
Mailing Address - Country:US
Mailing Address - Phone:973-651-7225
Mailing Address - Fax:
Practice Address - Street 1:1252 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-2422
Practice Address - Country:US
Practice Address - Phone:973-651-7225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251X00000X, 385H00000X
NJ251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage
No385H00000XRespite Care FacilityRespite Care