Organization
DIVINE DWELLING HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGIETTE KOOMSON RN (CO-OWNER)
(732) 331-3379
Entity
Organization
Contact information
Practice address
449 W COUNTRY CLUB DR, WESTAMPTON, NJ 08060-4741
(732) 331-3379
(609) 931-0261
Mailing address
449 W COUNTRY CLUB DR, WESTAMPTON, NJ 08060-4741
(732) 331-3379
(609) 931-0261
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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