Organization
AAF DIVINE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEMARY FOLEFA FONYA (CEO)
(240) 486-7080
Entity
Organization
Contact information
Practice address
11613 CLOCKTOWER LN, LAUREL, MD 20708-3514
(301) 419-0250
Mailing address
11613 CLOCKTOWER LN, LAUREL, MD 20708-3514
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
07/17/2019
Last updated
11/13/2023
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