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Organization

DIVINE GRACE HOME HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SYED AFTAB HUSAIN (OWNER)
(818) 956-5872
Entity
Organization

Contact information

Practice address
127 S BRAND BLVD STE 340, GLENDALE, CA 91204-5104
(818) 956-5872
(818) 956-5314
Mailing address
127 S BRAND BLVD STE 340, GLENDALE, CA 91204-5104
(818) 956-5872
(818) 956-5314

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550001019
CA

Other

Enumeration date
08/20/2014
Last updated
09/02/2014
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