# DIVINE AT HILLSBORO ST INC.

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

## Provider details

- **NPI number:** 1871000141
- **Authorized official:** CHRIS O ISIJOLA ADMINISTRATOR (OWNER/PRESIDENT)
- **Authorized official phone:** (919) 880-4619

## Contact information

- **Practice address:** 502 N HILLSBORO ST, YOUNGSVILLE, NC 27596-7779
- **Practice address phone:** (919) 880-4619
- **Mailing address:** 502 N HILLSBORO ST, YOUNGSVILLE, NC 27596-7779
- **Mailing address phone:** (919) 880-4619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2018
- **Last updated:** 01/08/2018