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1255618716
DIVINE HEALTHCARE
KENNESAW, GA
NPI
1255618716
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Entity Type
Organization
Authorized Contact
EGHOSA E ODOBO
President
678-358-4681
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
(Licence: GA 033-R-0348)
Enumeration Date
2011-11-11
Last Update Date
2011-11-11
Business Address
DIVINE HEALTHCARE
903 SHAFTOE ST NW
KENNESAW, GA 30152-6999
Phone number: 678-612-1700
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Mailing Address
DIVINE HEALTHCARE
903 SHAFTOE ST NW
KENNESAW, GA 30152-6999
Phone number: 678-612-1700
Copy
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