Organization
DIVINE HOME HEALTH AND AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA ADEGBOYEGA (ADMINISTRATOR)
(301) 538-2474
Entity
Organization
Contact information
Practice address
1004 WESTLAKE DR, BOWIE, MD 20721-1848
(301) 538-2474
Mailing address
1004 WESTLAKE DR, BOWIE, MD 20721-1848
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RS3419
MD
251E00000X
Home Health Agency
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Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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