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Organization
DIVINE HEALTH HOME CARE SERVICES,INC
Active
Organization
DIVINE HEALTH HOME CARE SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORENE A ESSIEN-ETOKIMOH RN (ADMINITRATORR)
(267) 686-4872
Entity
Organization
Contact information
Practice address
6800 CASTOR AVE, SUITE C, PHILADELPHIA, PA 19149-2100
(267) 686-4872
(267) 686-4873
Mailing address
6800 CASTOR AVE, SUITE C, PHILADELPHIA, PA 19149-2100
(267) 686-4872
(267) 686-4873
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
NULL
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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