# VERNONWAY HEALTHCARE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Transformational Healthcare Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164253258
- **Authorized official:** JEMIMA M CELESTIN NP (OWNER)
- **Authorized official phone:** (908) 304-9577

## Contact information

- **Practice address:** 123 HIGHLAND AVE STE G2, GLEN RIDGE, NJ 07028-1522
- **Practice address phone:** (908) 304-9577
- **Practice address fax:** (908) 652-9230
- **Mailing address:** 123 HIGHLAND AVE STE G2, GLEN RIDGE, NJ 07028-1522
- **Mailing address phone:** (908) 304-9577
- **Mailing address fax:** (908) 652-9230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2024
- **Last updated:** 08/09/2024