Organization
DIVINE HEALTHCARE SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNETH IFEANYICHUKWU OKORIE DOCTOR OF OPTOMETRY, (PROGRAM DIRECTOR)
(310) 227-3940
Entity
Organization
Contact information
Practice address
405 W MANCHESTER BLVD, SUITE A, INGLEWOOD, CA 90301-1196
(310) 672-3820
Mailing address
405 W MANCHESTER BLVD, SUITE A, INGLEWOOD, CA 90301-1196
(310) 672-3820
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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