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Organization
DIVINE CARE LLC
Active
Organization
DIVINE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NKECHI M EKWEALOR (OWNER)
(443) 399-1294
Entity
Organization
Contact information
Practice address
325 RIVERSIDE PKWY SW APT 3J, AUSTELL, GA 30168-7350
(404) 399-1294
Mailing address
325 RIVERSIDE PKWY SW APT 3J, AUSTELL, GA 30168-7350
(404) 399-1294
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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