Provider Demographics
NPI:1194527713
Name:SPECIAL ABILITIES GLOBAL NETWORK
Entity type:Organization
Organization Name:SPECIAL ABILITIES GLOBAL NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYOWA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-885-7531
Mailing Address - Street 1:305 NAGLE ST
Mailing Address - Street 2:
Mailing Address - City:BOUND BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08805-1505
Mailing Address - Country:US
Mailing Address - Phone:973-885-7531
Mailing Address - Fax:
Practice Address - Street 1:305 NAGLE ST
Practice Address - Street 2:
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805-1505
Practice Address - Country:US
Practice Address - Phone:973-885-7531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility