# DIVINE OASIS HOME HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1992577944
- **Authorized official:** MS. FATMATA RAYMOND (AMBR)
- **Authorized official phone:** (571) 277-6003

## Contact information

- **Practice address:** 70 GRAMERCY LN, WILLINGBORO, NJ 08046-3322
- **Practice address phone:** (571) 277-6003
- **Mailing address:** 98 JENNIFER LN, BURLINGTON, NJ 08016-1142
- **Mailing address phone:** (571) 277-6003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 10/24/2023