Organization
DIVINE FAVOUR HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWAKEMI OMONIYI (OWNER)
(480) 738-2019
Entity
Organization
Contact information
Practice address
11 DARDEN CT, STAFFORD, VA 22554-8339
(480) 738-2019
Mailing address
11 DARDEN CT, STAFFORD, VA 22554-8339
(480) 738-2019
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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