Organization
DIVINE FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGENIA CHIEGEONU AKA (ADMINISTRATOR)
(916) 600-7989
Entity
Organization
Contact information
Practice address
8194 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-1535
(916) 600-7989
Mailing address
8194 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-1535
(916) 600-7989
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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