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Organization

DIVINE AID SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MARIE ANNE B CASSAGNOL (LPN)
(973) 698-7753
Entity
Organization

Contact information

Practice address
340 FRANKLIN ST FL 2, BLOOMFIELD, NJ 07003-3491
(197) 369-8773
Mailing address
340 FRANKLIN ST FL 2, BLOOMFIELD, NJ 07003-3491
(197) 369-8773

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
04/17/2015
Last updated
04/17/2015
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