Organization
DIVINE HEALTH HOME CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANDREWS (PRESIDENT)
(202) 400-0849
Entity
Organization
Contact information
Practice address
9707 TRAVER ST, MITCHELLVILLE, MD 20721-1867
(202) 400-0849
(866) 405-4896
Mailing address
9707 TRAVER ST, MITCHELLVILLE, MD 20721-1867
(202) 400-0849
(866) 405-4896
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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