Organization
DIVINE HEALTH CARE SERVICES INC
Active
Other names
HEALTH CARE PROVIDER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX O WANDE (OWNER)
(678) 344-0364
Entity
Organization
Contact information
Practice address
2691 FARMSTEAD CT, GRAYSON, GA 30017-4290
(678) 344-0364
Mailing address
2691 FARMSTEAD CT, GRAYSON, GA 30017-4290
(678) 344-0364
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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