Organization
DIVINE PROMISES NURSING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITILOLA HARRIET ADANRITAYLOR R.N (PRESIDENT/CEO)
(619) 334-3438
Entity
Organization
Contact information
Practice address
1630 WALLY WAY, EL CAJON, CA 92021-3684
(619) 334-3438
(619) 334-3438
Mailing address
1630 WALLY WAY, EL CAJON, CA 92021-3684
(619) 334-3438
(619) 334-3438
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
643553
CA
282E00000X
Long Term Care Hospital
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
643553
CA
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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