Provider Demographics
NPI:1083188577
Name:OWN WINGS & PRAYERS
Entity Type:Organization
Organization Name:OWN WINGS & PRAYERS
Other - Org Name:OWN WINGS & PRAYERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACK-ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:732-581-7898
Mailing Address - Street 1:1001 SEWALL AVE
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-6447
Mailing Address - Country:US
Mailing Address - Phone:732-581-7898
Mailing Address - Fax:732-581-7898
Practice Address - Street 1:1001 SEWALL AVE
Practice Address - Street 2:
Practice Address - City:ASBURY PARK
Practice Address - State:NJ
Practice Address - Zip Code:07712-6447
Practice Address - Country:US
Practice Address - Phone:732-581-7898
Practice Address - Fax:732-581-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty