Divine Healthcare Services
Day Training, Developmentally Disabled Services in Laurel, MD. Organization (NPI-2).
NPI number1881152619
StatusActive
Last updated in NPPESMar 11, 2019
Details
- NPI
- 1881152619
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Healthcare Services
- Organization subpart
- No
- Enumeration date
- Mar 11, 2019
- Last updated
- Mar 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
Practice location
8222 Northview CtLaurel, MD 20707-5880
Phone 240-413-5614
Mailing address
8222 Northview CtLaurel, MD 20707-5880
Phone 240-413-5614
Authorized official
Divine Elphson
Ceo
2404135614
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