# DIVINE HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIVINE HEALTHCARE SERVICES
- **Other names:** DIVINE HEALTHCARE SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396303384
- **Legal business name:** DIVINE HEALTHCARE SERVICES
- **Authorized official:** STELLA OBODIGBO (DIRECTOR OF NURSING)
- **Authorized official phone:** (973) 395-9501

## Contact information

- **Practice address:** 60 EVERGREEN PL STE 501, EAST ORANGE, NJ 07018-2118
- **Practice address phone:** (973) 395-9501
- **Practice address fax:** (973) 395-9502
- **Mailing address:** 60 EVERGREEN PL STE 501, EAST ORANGE, NJ 07018-2118
- **Mailing address phone:** (973) 395-9501
- **Mailing address fax:** (973) 395-9502

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2019
- **Last updated:** 06/04/2019