Organization
DIVINE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANEE MCDONALD (EXECUTIVE DIRECTOR)
(347) 831-0703
Entity
Organization
Contact information
Practice address
49 CAMBRIDGE AVE, SICKLERVILLE, NJ 08081-1231
(347) 831-0703
Mailing address
49 CAMBRIDGE AVE, SICKLERVILLE, NJ 08081-1231
(347) 831-0703
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/25/2024
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