# SNS DIVINE HOME CARE

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

## Provider details

- **NPI number:** 1457968885
- **Authorized official:** MRS. SHEILA ACHEAMPONG OTA (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (240) 210-9272

## Contact information

- **Practice address:** 324 BALDWIN RD, ODENTON, MD 21113-1264
- **Practice address phone:** (240) 210-9272
- **Mailing address:** 324 BALDWIN RD, ODENTON, MD 21113-1264
- **Mailing address phone:** (240) 210-9272

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2020
- **Last updated:** 12/11/2020