# DIVINE PROMISES NURSING AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053615039
- **Authorized official:** TITILOLA HARRIET ADANRITAYLOR R.N (PRESIDENT/CEO)
- **Authorized official phone:** (619) 334-3438

## Contact information

- **Practice address:** 1630 WALLY WAY, EL CAJON, CA 92021-3684
- **Practice address phone:** (619) 334-3438
- **Practice address fax:** (619) 334-3438
- **Mailing address:** 1630 WALLY WAY, EL CAJON, CA 92021-3684
- **Mailing address phone:** (619) 334-3438
- **Mailing address fax:** (619) 334-3438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | 643553 | CA | — |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | — |
| 282E00000X | Long Term Care Hospital | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 643553 | CA | — |
| 283Q00000X | Psychiatric Hospital | — | NULL | — |
| 283X00000X | Rehabilitation Hospital | 643553 | CA | — |
| 286500000X | Military Hospital | 643553 | CA | — |
| 310400000X | Assisted Living Facility | 643553 | CA | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | 643553 | CA | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 643553 | CA | — |
| 324500000X | Substance Abuse Rehabilitation Facility | 643553 | CA | — |
| 385H00000X | Respite Care | 643553 | CA | — |

## Other

- **Enumeration date:** 01/05/2011
- **Last updated:** 01/05/2011