Organization
DIVINE HEALING HEALTHCARE & DURABLE MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHINYERE M IZUCHUKWU NP (OWNER)
(678) 755-1398
Entity
Organization
Contact information
Practice address
2815 CAROLINA RDG, RIVERDALE, GA 30296-6021
(678) 755-1398
(877) 540-0443
Mailing address
2815 CAROLINA RDG, RIVERDALE, GA 30296-6021
(678) 755-1398
(877) 540-0443
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
09/22/2021
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