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Organization
JUST DIVINE HOMECARE AGENCY LLC
Active
Organization
JUST DIVINE HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRISCILLA O ANDOH (ADMINISTRATOR)
(301) 219-1585
Entity
Organization
Contact information
Practice address
23004 WINGED ELM DR, CLARKSBURG, MD 20871-4468
(301) 219-1585
(240) 241-5181
Mailing address
23004 WINGED ELM DR, CLARKSBURG, MD 20871-4468
(301) 219-1585
(240) 241-5181
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
R2617
MD
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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