Divine Health Care Services INC

NPI #1770722464 in Grayson, Georgia

Provider Information

NPI Number: 1770722464
Entity Type: Organization
Organization Name: Divine Health Care Services INC
Primary Specialty: Home Health
Enumeration Date: Feb 19, 2009
Last Updated: Feb 19, 2009

Practice Location

Address: 2691 FARMSTEAD CT
City: Grayson
State: Georgia
ZIP Code: 30017-4290
Phone: (678) 344-0364

Authorized Official

Name: MR. ALEX O WANDE
Title: OWNER
Phone: (678) 344-0364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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