Organization
DIVINE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDIE OLANIYAN (AGENCY MANAGER)
(708) 832-3000
Entity
Organization
Contact information
Practice address
4351 INLET DR, STOCKTON, CA 95219-4992
(708) 832-3000
(708) 321-8219
Mailing address
1461 RING RD, CALUMET CITY, IL 60409-5459
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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