NPI 1013503747
Destiny Awakening Healthcare Services LLC
Practice location
- Address
- 458 Irvine Turner Blvd, Newark, NJ 07108-2414
- Phone
- (973) 704-8769
- Fax
- (862) 305-3790
Authorised official
- Name
- Linda Emefa Nyomi-Ezeranuna
- Title
- Manager
- Phone
- (973) 704-8769
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1013503747
- Entity type
- Organization
- NPI issued
- 16 Dec 2020
- Record last updated
- 10 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.