Organization
DIVINITY CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARUMI WALTERS (PRESIDENT)
(215) 964-0177
Entity
Organization
Contact information
Practice address
5215 N WARNOCK ST, PHILADELPHIA, PA 19141-4025
(215) 964-0177
Mailing address
5215 N WARNOCK ST, PHILADELPHIA, PA 19141-4025
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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