Organization
DIVINE HERITAGE HEALTHCARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABATUNDE OLUSEGUN ADEBOYE PHARMD, MBA (MANAGER)
(908) 937-6279
Entity
Organization
Contact information
Practice address
1413 ORCHARD TER, HILLSIDE, NJ 07205-1826
(908) 937-6279
Mailing address
1413 ORCHARD TER, HILLSIDE, NJ 07205-1826
(908) 937-6279
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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