Divine Guardian Health Association

NPI #1114622099 in Iselin, New Jersey

Provider Information

NPI Number: 1114622099
Entity Type: Organization
Organization Name: Divine Guardian Health Association
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 31, 2023
Last Updated: May 17, 2023

Practice Location

Address: 485C US HIGHWAY 1 S STE 100-24
City: Iselin
State: New Jersey
ZIP Code: 08830-3037
Phone: (914) 514-0009

Authorized Official

Name: JODIAN WALTERS
Title: CEO
Phone: (914) 514-0009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Hospice Care, Community Based	251G00000X
Supports Brokerage	251X00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Case Manager/Care Coordinator	171M00000X	Primary

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