Organization
DIVINE HEALTHCARE SERVICES
Active
Parent organization
DIVINE HEALTHCARE SERVICES
Other names
DIVINE HEALTHCARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE HEALTHCARE SERVICES
Authorized official
STELLA OBODIGBO (DIRECTOR OF NURSING)
(973) 395-9501
Entity
Organization
Contact information
Practice address
60 EVERGREEN PL STE 501, EAST ORANGE, NJ 07018-2118
(973) 395-9501
(973) 395-9502
Mailing address
60 EVERGREEN PL STE 501, EAST ORANGE, NJ 07018-2118
(973) 395-9501
(973) 395-9502
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254967
—
NJ
Enumeration date
06/04/2019
Last updated
06/04/2019
About Stedi
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