Organization
DIVINE HEALTHCARE SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALUMA K ORUH (ADMINISTRATOR)
(770) 967-2193
Entity
Organization
Contact information
Practice address
7380 SPOUT SPRINGS RD, SUITE 190, FLOWERY BRANCH, GA 30542-7541
(770) 967-2193
(770) 967-2199
Mailing address
7380 SPOUT SPRINGS RD, SUITE 190, FLOWERY BRANCH, GA 30542-7541
(770) 967-2193
(770) 967-2199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
BL07086
GA
Other
Enumeration date
03/09/2007
Last updated
03/12/2014
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