Organization
DIVINE LIVING OF MADISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE KISTER (OWNER)
(440) 428-4663
Entity
Organization
Contact information
Practice address
2358 HUBBARD RD, MADISON, OH 44057-2524
(440) 428-4663
Mailing address
2358 HUBBARD RD, MADISON, OH 44057-2524
(440) 428-4663
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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