Organization
DVINE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEPHTHAH ASIMOLE (DIRECTOR)
(443) 431-0618
Entity
Organization
Contact information
Practice address
21 TREEWAY CT APT 2C, TOWSON, MD 21286-3489
(443) 431-0618
Mailing address
801 E PULASKI HWY STE 143, ELKTON, MD 21921-6671
(443) 431-0618
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/12/2025
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