Organization
DIVINE VENTURES LLC
Active
Other names
DIVINE MERCY HOME HEALTH SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE OMOWUNMI SORINMADE BSBA (PRESIDENT)
(617) 680-7614
Entity
Organization
Contact information
Practice address
5 MAIN ST, BROCKTON, MA 02301-4026
(508) 584-2855
(508) 584-2866
Mailing address
5 MAIN ST, BROCKTON, MA 02301-4026
(508) 584-2855
(508) 584-2866
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
MA
Other
Enumeration date
06/07/2006
Last updated
07/21/2022
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