Divine Home Care
NPI #1487054300 in Dothan, Alabama
Provider Information
- NPI Number
- 1487054300
- Entity Type
- Organization
- Organization Name
- Divine Home Care
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 27, 2014
- Last Updated
- Aug 27, 2014
Practice Location
Authorized Official
- Name
- DERRICK O TILLER
- Title
- OWNER
- Phone
- (334) 405-5881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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