Organization
DIVINE CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOOCHUKWU EGBUKWU (ADMINISTRATOR)
(215) 858-4135
Entity
Organization
Contact information
Practice address
324 ALDAN AVE, ALDAN, PA 19018-4202
(215) 858-4135
Mailing address
3720 SPRUCE ST STE 159, PHILADELPHIA, PA 19104-4115
(215) 858-4135
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
34653601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34653601
STATE OF PA
PA
Enumeration date
07/26/2018
Last updated
07/26/2018
About Stedi
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