Organization
DIVINE TEAM HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLESSING ANYAIWE ONYEKACHI RN (ADMINISTRATOR)
(678) 687-6141
Entity
Organization
Contact information
Practice address
1895 BARRETT KNOLL CT NW, KENNESAW, GA 30152-8228
(678) 687-6141
(678) 398-7301
Mailing address
1895 BARRETT KNOLL CT NW, KENNESAW, GA 30152-8228
(678) 687-6141
(678) 398-7301
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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