Organization
DIVINE VENTURES LLC
Active
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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