Organization
CARE DIVINE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS G GUNDA DADZIE (CEO)
(978) 400-5643
Entity
Organization
Contact information
Practice address
245 RIVER ST, SUITE 128, FITCHBURG, MA 01420-3282
(978) 400-5643
(978) 627-3462
Mailing address
245 RIVER ST, SUITE 128, FITCHBURG, MA 01420-3282
(978) 400-5643
(978) 627-3462
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
08/28/2015
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