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1134370513
DIVINE COMMUNITY CARE PROVIDERS, LLC
REYNOLDSBURG, OH
NPI
1134370513
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Entity Type
Organization
Authorized Contact
ANGELIQUE MARIA PORTER
President
614-861-0861
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2008-10-03
Last Update Date
2008-10-03
Business Address
DIVINE COMMUNITY CARE PROVIDERS, LLC
7550 SLATE RIDGE BLVD
REYNOLDSBURG, OH 43068-3156
Phone number: 614-861-0861
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Mailing Address
DIVINE COMMUNITY CARE PROVIDERS, LLC
7550 SLATE RIDGE BLVD
REYNOLDSBURG, OH 43068-3156
Phone number: 614-861-0861
Copy
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