Divine Healthcare Services,inc
NPI #1336348853 in Inglewood, California
Provider Information
- NPI Number
- 1336348853
- Entity Type
- Organization
- Organization Name
- Divine Healthcare Services,inc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 13, 2007
- Last Updated
- Jul 13, 2007
Practice Location
- Address
- 405 W MANCHESTER BLVD
- Address 2
- SUITE A
- City
- Inglewood
- State
- California
- ZIP Code
- 90301-1196
- Phone
- (310) 672-3820
Authorized Official
- Name
- MR. BENNETH IFEANYICHUKWU OKORIE, DOCTOR OF OPTOMETRY,
- Title
- PROGRAM DIRECTOR
- Phone
- (310) 227-3940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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