Organization
DIVINE ENTERPRISES, INC.
Active
Other names
Emman Elder Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOJISOLA O ABIDOGUN RN (ADMINISTRATOR)
(904) 586-7611
Entity
Organization
Contact information
Practice address
1068 ARLINGTON RD N, JACKSONVILLE, FL 32211-5811
(904) 586-7611
Mailing address
11403 KABROON CT, JACKSONVILLE, FL 32246-6918
(904) 586-7611
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/21/2015
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