Organization
DIVINE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBUKUNOLA BANJOKO (PRESIDENT)
(929) 372-6001
Entity
Organization
Contact information
Practice address
18754 87TH RD, JAMAICA, NY 11432-2426
(929) 372-6001
Mailing address
18754 87TH RD, JAMAICA, NY 11432-2426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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