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1487054300
DIVINE HOME CARE
DOTHAN, AL
NPI
1487054300
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Entity Type
Organization
Authorized Contact
DERRICK O TILLER
Owner
334-405-5881
Organization Subpart ?
No
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
DIVINE HOME CARE
802 GRANT ST APT 3
DOTHAN, AL 36301-3807
Phone number: 334-405-5881
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Mailing Address
DIVINE HOME CARE
802 GRANT ST APT 3
DOTHAN, AL 36301-3807
Phone number: 334-405-5881
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