Organization
DIVINE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL NWOGA (EXECUTIVE DIRECTOR)
(609) 634-2093
Entity
Organization
Contact information
Practice address
12401 BRICKYARD BLVD APT 1108, BELTSVILLE, MD 20705-1356
(609) 634-2093
(609) 634-2093
Mailing address
17 MULBERRY ST, SICKLERVILLE, NJ 08081-1600
(609) 634-2093
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6096342093
—
MD
Enumeration date
01/23/2018
Last updated
01/23/2018
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