Provider Demographics
NPI:1558085928
Name:SAFEWAY TRANSITIONAL
Entity Type:Organization
Organization Name:SAFEWAY TRANSITIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EJIKE
Authorized Official - Last Name:ONYEJIAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-507-7832
Mailing Address - Street 1:18 DINA LN
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-7611
Mailing Address - Country:US
Mailing Address - Phone:908-507-7832
Mailing Address - Fax:
Practice Address - Street 1:18 DINA LN
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-7611
Practice Address - Country:US
Practice Address - Phone:908-507-7832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management