Organization
DIVINE LIVING LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR EGBIREMOLEN (OWNER/ASSISTED LIVING MANAGER)
(443) 682-3762
Entity
Organization
Contact information
Practice address
202 E LANVALE ST, BALTIMORE, MD 21202-2814
(443) 682-3762
Mailing address
8620 PLEASANT PLAINS RD, TOWSON, MD 21286-2351
(443) 682-3762
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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