| NPI | 1891086914 |
|---|---|
| Doing Business As | DIVINE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | FEMI O ABATAN President 714-225-4762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Additional Taxonomies | 282E00000X |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2011-04-23 |