Organization
DIVINE HEALTH AND WELLNESS CORP
Active
Organization
DIVINE HEALTH AND WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADESUWA OSAZUWA (CEO)
(702) 236-7529
Entity
Organization
Contact information
Practice address
6136 WARM RIVER RD, LAS VEGAS, NV 89108-1757
(702) 236-7529
Mailing address
6136 WARM RIVER RD, LAS VEGAS, NV 89108-1757
(702) 236-7529
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
103K00000X
NV
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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