| Faith Consulting Service Inc | |
|
100 Horizon Center Blvd 1st And 2nd Floors Hamilton NJ 08691 | |
| (609) 284-0754 | |
| Not Available |
| Full Name | Faith Consulting Service Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Horizon Center Blvd, Hamilton, New Jersey |
| Authorized Official Name and Position | Omotayo Awujoola (PROVIDER) |
| Authorized Official Contact | 6092840754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Consulting Service Inc 100 Horizon Center Blvd 1st And 2nd Floors Hamilton NJ 08691 Ph: (609) 284-0754 | Faith Consulting Service Inc 100 Horizon Center Blvd 1st And 2nd Floors Hamilton NJ 08691 Ph: (609) 284-0754 |
| NPI Number | 1508505488 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Medicare PECOS PAC ID | 0648654996 |
|---|---|
| Medicare Enrollment ID | O20220906000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508505488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Omotayo Elizabeth Awujoola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194932392 PECOS PAC ID: 8426333774 Enrollment ID: I20170328002804 |
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