Organization
DIVINE GRACE FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BISHOP ROY-MACAULEY (DOO)
(380) 261-9010
Entity
Organization
Contact information
Practice address
1575 WORTHINGTON CLUB DR, WESTERVILLE, OH 43081-4619
(380) 261-9010
Mailing address
1575 WORTHINGTON CLUB DR, WESTERVILLE, OH 43081-4619
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/18/2024
Last updated
10/02/2024
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