Organization
DIVINE SOURCE HEALTHCARE SYSTEMS, INC
Active
Other names
Divine Source Healthcare Systems, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADEDAYO AKINROLABU (OWNER)
(404) 993-9211
Entity
Organization
Contact information
Practice address
5903 EAGLES CROSSING LN, RIVERDALE, GA 30274-1434
(404) 993-9211
Mailing address
5903 EAGLES CROSSING LN, RIVERDALE, GA 30274-1434
(404) 993-9211
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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