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Organization

DIVINE SUPPORT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINO KODJO HOUANYE (CEO)
(843) 605-5717
Entity
Organization

Contact information

Practice address
7900 E UNION AVE STE 1100, DENVER, CO 80237-2746
(843) 605-5717
Mailing address
7900 E UNION AVE STE 1100, DENVER, CO 80237-2746
(843) 605-5717

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
02/06/2022
Last updated
02/06/2022
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