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Organization

DIVINE GLOBAL HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OLANIYI OGBONLAIYE (PROGRAM DIRECTOR)
(240) 462-5947
Entity
Organization

Contact information

Practice address
2938 MYRTLEWOOD DR, DUMFRIES, VA 22026-4534
(240) 462-5947
Mailing address
7571 HOLLY RIDGE DR, GLEN BURNIE, MD 21060-8715
(240) 462-5947

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
06/13/2020
Last updated
06/13/2020
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