Organization
DEVINECARE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MODUPE OLOWODAHUNSI (PRESIDENT)
(267) 474-9931
Entity
Organization
Contact information
Practice address
1751 S VALLEY FORGE RD, LANSDALE, PA 19446-5418
(267) 474-9931
Mailing address
1751 S VALLEY FORGE RD, LANSDALE, PA 19446-5418
(267) 474-9931
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7050818
SOS ENTITY NUMBER
PA
Enumeration date
05/08/2020
Last updated
05/08/2020
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