Divine Private Home Care Provider

NPI #1932599610 in Riverdale, Georgia

Provider Information

NPI Number: 1932599610
Entity Type: Organization
Organization Name: Divine Private Home Care Provider
Primary Specialty: Home Health
Enumeration Date: Feb 2, 2015
Last Updated: Feb 2, 2015

Practice Location

Address: 7317 DEXTER DR
City: Riverdale
State: Georgia
ZIP Code: 30296-1522
Phone: (678) 517-5305

Authorized Official

Name: MISS LATIFAT ABIMBOLA OKE, BACHELOR IN NURSING
Title: ADMINISTRATOR
Phone: (678) 517-5305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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