Organization
DIVINE GRACE HOME HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYED AFTAB HUSAIN (CEO(PRESIDENT))
(818) 956-5872
Entity
Organization
Contact information
Practice address
512 E WILSON AVE, SUITE 401, GLENDALE, CA 91206-4351
(818) 956-5872
(818) 956-5314
Mailing address
512 E WILSON AVE, SUITE 401, GLENDALE, CA 91206-4351
(818) 956-5872
(818) 956-5314
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/06/2008
Last updated
07/21/2015
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