# DIVINE HEALTH CARE INC

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

## Provider details

- **NPI number:** 1144868258
- **Authorized official:** MRS. ISATU FORNAH-JAMBAI (PRESIDENT/CEO/ADMINISTRATOR)
- **Authorized official phone:** (301) 640-6229

## Contact information

- **Practice address:** 1629 K ST NW, WASHINGTON, DC 20006-1602
- **Practice address phone:** (301) 640-6229
- **Practice address fax:** (240) 547-6299
- **Mailing address:** 1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
- **Mailing address phone:** (301) 640-6229
- **Mailing address fax:** (240) 547-6299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/19/2019
- **Last updated:** 04/21/2022