Organization
DIVINE HEALTHCARE SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STELLA F. OBIDIGBO (DIRECTOR)
(973) 996-2270
Entity
Organization
Contact information
Practice address
60 EVERGREEN PL STE 501, EAST ORANGE, NJ 07018-2118
(973) 900-0110
(973) 900-0110
Mailing address
60 EVERGREEN PL STE 501, EAST ORANGE, NJ 07018-2118
(973) 900-0110
(973) 900-0110
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
26N012346500
NJ
251J00000X
Nursing Care Agency
26N012346500
NJ
Other
Enumeration date
06/28/2008
Last updated
12/19/2024
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