Organization
DIVINE FAMILY CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS O. ISIJOLA (OWNER)
(919) 880-4619
Entity
Organization
Contact information
Practice address
306 LUMPKIN BLVD, FRANKLIN COUNTY, LOUISBURG, NC 27549-2143
(919) 729-3134
(919) 729-3134
Mailing address
306 LUMPKIN BLVD, FRANKLIN COUNTY, LOUISBURG, NC 27549-2143
(919) 729-3134
(919) 729-3134
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-035-016
NC
Other
Enumeration date
03/22/2007
Last updated
01/04/2008
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