# DIVINE ORACLE COMMUNITY HEALTH INC.

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

## Provider details

- **NPI number:** 1538938428
- **Authorized official:** DOMINIQUE MBACHIE RN (CEO)
- **Authorized official phone:** (202) 368-2456

## Contact information

- **Practice address:** 5872 EASTERN AVE NE, WASHINGTON, DC 20011-2721
- **Practice address phone:** (202) 368-2456
- **Mailing address:** 5872 EASTERN AVE NE, WASHINGTON, DC 20011-2721
- **Mailing address phone:** (202) 368-2456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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