Organization
DIVINE PROMISES NURSING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITILOLA HARRIET ADANRITAYLOR R.N (PRESIDENT/CEO)
(619) 334-3438
Entity
Organization
Contact information
Practice address
1630 WALLY WAY, EL CAJON, CA 92021-3684
(619) 334-3438
(619) 334-3438
Mailing address
1630 WALLY WAY, EL CAJON, CA 92021-3684
(619) 334-3438
(619) 334-3438
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
643553
CA
273Y00000X
Rehabilitation Hospital Unit
—
—
282E00000X
Long Term Care Hospital
—
—
282N00000X
General Acute Care Hospital
643553
CA
283Q00000X
Psychiatric Hospital
—
—
283X00000X
Rehabilitation Hospital
643553
CA
286500000X
Military Hospital
643553
CA
310400000X
Assisted Living Facility
643553
CA
310400000X
Assisted Living Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
643553
CA
323P00000X
Psychiatric Residential Treatment Facility
643553
CA
324500000X
Substance Abuse Rehabilitation Facility
643553
CA
385H00000X
Respite Care
643553
CA
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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