Provider Demographics
NPI:1700628062
Name:ONAJOURNEE WELLNESS PRACTICES
Entity type:Organization
Organization Name:ONAJOURNEE WELLNESS PRACTICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WELLNESS PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BONHOMME
Authorized Official - Suffix:
Authorized Official - Credentials:CRCST, CHL, LST
Authorized Official - Phone:732-423-0772
Mailing Address - Street 1:727 VAN BUREN AVE
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-2124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1076
Practice Address - Country:US
Practice Address - Phone:732-423-0772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-08
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)