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Organization

DIVINE CONNECT CARE INC

Active
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Organization

DIVINE CONNECT CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FELICIA EKESON (PRESIDENT)
(202) 241-2723
Entity
Organization

Contact information

Practice address
3115 GEORGIA AVE NW, WASHINGTON, DC 20010-2901
(202) 241-2723
Mailing address
3115 GEORGIA AVE NW STE 4, WASHINGTON, DC 20010-2901
(202) 241-2723

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
400312001725
DC

Other

Enumeration date
04/09/2014
Last updated
04/09/2014
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