Organization
DIVINE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STELLA OBIDIGBO (DIRECTOR OF NURSING)
(973) 395-9501
Entity
Organization
Contact information
Practice address
60 EVERGREEN PL, SUITE 501, EAST ORANGE, NJ 07018-9992
(973) 395-9501
(973) 395-9502
Mailing address
60 EVERGREEN PL, SUITE 501, EAST ORANGE, NJ 07018-9992
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0106600
NJ
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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