Organization
DIVINE HOSPICE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN EDOIMIOYA RN (ADMINISTRATOR)
(404) 762-6880
Entity
Organization
Contact information
Practice address
5532 OLD NATIONAL HWY, BLDG G SUITE 100B, COLLEGE PARK, GA 30349-3212
(404) 762-6880
(404) 762-6885
Mailing address
5532 OLD NATIONAL HWY, BLDG G SUITE 100B, COLLEGE PARK, GA 30349-3212
(404) 762-6880
(404) 762-6885
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
060-241-H
GA
Other
Enumeration date
06/24/2006
Last updated
03/26/2008
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