Organization
WALLOFLIONS, LLC.
Active
Other names
Lion Health Initiative
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO PAREDES (PRESIDENT)
(973) 477-9641
Entity
Organization
Contact information
Practice address
2816 MORRIS AVE STE 33B, UNION, NJ 07083-4870
(973) 477-9641
Mailing address
8 LOMBARDY ST UNIT 166, NEWARK, NJ 07102-3210
(973) 477-9641
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450251843
NJ ID
NJ
Enumeration date
05/04/2018
Last updated
02/03/2024
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