Divine Residential Living

NPI #1710581608 in Mount Orab, Ohio

Provider Information

NPI Number: 1710581608
Entity Type: Organization
Organization Name: Divine Residential Living
Primary Specialty: Home Health
Enumeration Date: Nov 23, 2020
Last Updated: Nov 23, 2020

Practice Location

Address: 209 BOYD RD
City: Mount Orab
State: Ohio
ZIP Code: 45154-8237
Phone: (937) 309-5125

Authorized Official

Name: JAIME THORNTON
Title: CEO
Phone: (740) 527-1329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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