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Organization
DIVINE ORACLE COMMUNITY HEALTH INC.
Active
Organization
DIVINE ORACLE COMMUNITY HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE MBACHIE RN (CEO)
(202) 368-2456
Entity
Organization
Contact information
Practice address
5872 EASTERN AVE NE, WASHINGTON, DC 20011-2721
(202) 368-2456
Mailing address
5872 EASTERN AVE NE, WASHINGTON, DC 20011-2721
(202) 368-2456
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
310400000X
Assisted Living Facility
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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