| Divine Healthcare Services,inc | |
|
405 W Manchester Blvd Suite A Inglewood CA 90301-1196 | |
| (310) 672-3820 | |
| Not Available |
| Full Name | Divine Healthcare Services,inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 405 W Manchester Blvd, Inglewood, California |
| Authorized Official Name and Position | Benneth Ifeanyichukwu Okorie (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3102273940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Healthcare Services,inc 405 W Manchester Blvd Suite A Inglewood CA 90301-1196 Ph: (310) 672-3820 | Divine Healthcare Services,inc 405 W Manchester Blvd Suite A Inglewood CA 90301-1196 Ph: (310) 672-3820 |
| NPI Number | 1336348853 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336348853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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