Organization
DIVINE NETWORK LLC
Active
Other names
Divine Network LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EBIWENI OJEKE (DIRECTOR)
(515) 778-6814
Entity
Organization
Contact information
Practice address
315 E 5TH ST STE 202, WATERLOO, IA 50703-4757
(515) 778-6814
Mailing address
315 E 5TH ST STE 202, WATERLOO, IA 50703-4757
(515) 778-6814
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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