# DESTINY AWAKENING HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** -
- **Other names:** Destiny Caregivers
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013503747
- **Legal business name:** -
- **Authorized official:** MRS. LINDA EMEFA NYOMI-EZERANUNA (MANAGER)
- **Authorized official phone:** (973) 704-8769

## Contact information

- **Practice address:** 458 IRVINE TURNER BLVD, NEWARK, NJ 07108-2414
- **Practice address phone:** (973) 704-8769
- **Practice address fax:** (862) 305-3790
- **Mailing address:** 458 IRVINE TURNER BLVD, NEWARK, NJ 07108-2414
- **Mailing address phone:** (973) 704-8769
- **Mailing address fax:** (862) 305-3790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2020
- **Last updated:** 06/10/2022