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Organization
DIVINE HEALTH LLC
Active
Organization
DIVINE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDA ANSAH LARBI (PROVIDER)
(240) 581-0125
Entity
Organization
Contact information
Practice address
8507 OXON HILL RD STE 200-S50, FORT WASHINGTON, MD 20744-4766
(240) 581-0125
Mailing address
8507 OXON HILL RD STE 200-S50, FORT WASHINGTON, MD 20744-4766
(240) 581-0125
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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