Provider Demographics
NPI:1619628625
Name:LIONS OF JUDAH7 MINISTRIES
Entity Type:Organization
Organization Name:LIONS OF JUDAH7 MINISTRIES
Other - Org Name:ANGELS OF MERCY HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-809-6556
Mailing Address - Street 1:505A WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:ATCO
Mailing Address - State:NJ
Mailing Address - Zip Code:08004-2438
Mailing Address - Country:US
Mailing Address - Phone:856-809-6012
Mailing Address - Fax:
Practice Address - Street 1:499 WHITE HORSE PIKE APT B
Practice Address - Street 2:
Practice Address - City:ATCO
Practice Address - State:NJ
Practice Address - Zip Code:08004-2421
Practice Address - Country:US
Practice Address - Phone:856-809-6535
Practice Address - Fax:856-896-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-11
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty