Organization
DIVINE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN OSAGIE PRESIDENT (AGENCY DIRECTOR)
(919) 881-8041
Entity
Organization
Contact information
Practice address
1001 NAVAHO DR, SUITE 203-B, RALEIGH, NC 27609-7335
(919) 881-8041
(919) 881-8316
Mailing address
1001 NAVAHO DR, SUITE 203-B, RALEIGH, NC 27609-7335
(919) 881-8041
(919) 881-8316
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC-3018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340-8383
—
ND
05
—
660-1281
—
NC
Enumeration date
11/01/2006
Last updated
01/05/2011
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