Organization
GLORY DIVINE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADETUNMBI ADEWAMI (ADMINISTRATOR)
(301) 646-2060
Entity
Organization
Contact information
Practice address
6915 VARNUM ST, LANDOVER HILLS, MD 20784-2121
(301) 646-2060
(301) 864-3214
Mailing address
9615 VARNUM STREET, LANDOVER, MD 20784-0000
(301) 646-2060
(301) 864-3214
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3482
MD
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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