Organization
DIVINE FAMILY CARE HOME III INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS O ISIJOLA (OWNER/PRESIDENT)
(919) 880-4619
Entity
Organization
Contact information
Practice address
45 CANNADY WAY, FRANKLIN, NC 27525-8939
(919) 880-4619
Mailing address
45 CANNADY WAY, FRANKLIN, NC 27525-8939
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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