Organization
DIVINE PATH HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA MONTINARD (PRESIDENT)
(484) 929-3331
Entity
Organization
Contact information
Practice address
8123 CRESCO AVE, PHILADELPHIA, PA 19136-2210
(484) 929-3331
Mailing address
8123 CRESCO AVE, PHILADELPHIA, PA 19136-2210
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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