Organization
DESTINY AWAKENING HEALTHCARE SERVICES LLC
Active
Other names
Destiny Caregivers
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA EMEFA NYOMI-EZEANUNA (MANAGER)
(862) 571-7577
Entity
Organization
Contact information
Practice address
458 IRVINE TURNER BLVD, NEWARK, NJ 07108-2414
(973) 704-8769
(862) 305-3790
Mailing address
458 IRVINE TURNER BLVD, NEWARK, NJ 07108-2414
(862) 571-7577
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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