Advance Divine Healthcare INC
NPI #1336619162 in North Brunswick, New Jersey
Provider Information
- NPI Number
- 1336619162
- Entity Type
- Organization
- Organization Name
- Advance Divine Healthcare INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 5, 2018
- Last Updated
- Dec 10, 2018
Practice Location
- Address
- 1440 HOW LANE
- Address 2
- SUITE 2A
- City
- North Brunswick
- State
- New Jersey
- ZIP Code
- 08902
- Phone
- (732) 447-4085
Authorized Official
- Name
- MR. CELESTINE U OHALE
- Title
- ADMINISTRATOR
- Phone
- (732) 447-4085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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