# DIVINE GLOBAL HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1124643374
- **Authorized official:** MR. OLANIYI OGBONLAIYE (PROGRAM DIRECTOR)
- **Authorized official phone:** (240) 462-5947

## Contact information

- **Practice address:** 2938 MYRTLEWOOD DR, DUMFRIES, VA 22026-4534
- **Practice address phone:** (240) 462-5947
- **Mailing address:** 7571 HOLLY RIDGE DR, GLEN BURNIE, MD 21060-8715
- **Mailing address phone:** (240) 462-5947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2020
- **Last updated:** 06/13/2020