Organization
DE DIVINE KARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN TOYIN KWUSHUE REGISTERED NURSE (ADMINISTRATOR)
(678) 779-7504
Entity
Organization
Contact information
Practice address
6001 KAHITI TRCE, UNION CITY, GA 30291-1371
(678) 779-7504
(404) 595-5223
Mailing address
6001 KAHITI TRCE, UNION CITY, GA 30291-1371
(678) 779-7504
(404) 595-5223
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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