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Organization

DIVINE HEALTHCARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIVINE ELPHSON MD (CEO)
(240) 413-5614
Entity
Organization

Contact information

Practice address
8222 NORTHVIEW CT, LAUREL, MD 20707-5880
(240) 413-5614
Mailing address
8222 NORTHVIEW CT, LAUREL, MD 20707-5880
(240) 413-5614

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
03/11/2019
Last updated
03/11/2019
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