Organization
DIVINE HOMES HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDOWU ESTHER OLATEJU (DIRECTOR)
(240) 696-9303
Entity
Organization
Contact information
Practice address
11209 FRUITWOOD DR, BOWIE, MD 20720-3564
(240) 696-9303
Mailing address
11209 FRUITWOOD DR, BOWIE, MD 20720-3564
(240) 696-9303
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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