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Organization

DIVINE HOME NURSING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GWENDOLYN M GOLSON (OWNER)
(678) 696-7177
Entity
Organization

Contact information

Practice address
2560 MANOR CREEK CT, CUMMING, GA 30041-0518
(678) 696-7177
Mailing address
2560 MANOR CREEK CT, CUMMING, GA 30041-0518

Taxonomy

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

Other

Enumeration date
03/28/2018
Last updated
03/28/2018
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