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Organization

DIVINE SELECT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNEST O NWANKWO (MANAGER)
(862) 250-1856
Entity
Organization

Contact information

Practice address
14 AYR ST, EAST ORANGE, NJ 07018-1002
(862) 250-1856
Mailing address
14 AYR ST, EAST ORANGE, NJ 07018-1002
(862) 250-1856

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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