Divine Homecare LLC

NPI #1659779536 in Tinton Falls, New Jersey

Provider Information

NPI Number: 1659779536
Entity Type: Organization
Organization Name: Divine Homecare LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Dec 9, 2014
Last Updated: Dec 9, 2014

Practice Location

Address: 71 ANNAPOLIS ST
City: Tinton Falls
State: New Jersey
ZIP Code: 07712-3175
Phone: (732) 567-7797

Authorized Official

Name: MUSTAK RAHMAN, MBBS,CPC,CPC-H
Title: MANAGER
Phone: (732) 567-7797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Home Infusion	251F00000X
In Home Supportive Care	253Z00000X	Primary

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