Organization
EXECUTIVES GROUP DBA DIVINE TOUCH HOME CARE SEVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAARNI ALFONSO (EXECUTIVE OFFICER)
(808) 675-6564
Entity
Organization
Contact information
Practice address
91-1077 KANELA ST, EWA BEACH, HI 96706-5957
(808) 285-9826
(619) 324-7796
Mailing address
39252 WINCHESTER RD STE 107-139, MURRIETA, CA 92563-3509
(808) 675-6564
(619) 324-7796
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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