DIVINE PRIVATE HOME CARE PROVIDER

RIVERDALE, GA
NPI1932599610
Entity TypeOrganization
Authorized ContactLATIFAT ABIMBOLA OKE
Administrator
678-517-5305
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
(Licence: GA  031-R-1124)
Enumeration Date2015-02-02
Last Update Date2015-02-02
Business Address
DIVINE PRIVATE HOME CARE PROVIDER
7317 DEXTER DR
RIVERDALE, GA 30296-1522
Phone number: 678-517-5305
Mailing Address
DIVINE PRIVATE HOME CARE PROVIDER
7317 DEXTER DR
RIVERDALE, GA 30296-1522
Phone number: 678-517-5305