| Divinity Hydration Llc | |
|
313 Bainbridge St Fl 1 Philadelphia PA 19147-1542 | |
| (877) 348-8333 | |
| Not Available |
| Full Name | Divinity Hydration Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 313 Bainbridge St Fl 1, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tiffany Brown (CEO) |
| Authorized Official Contact | 8773488333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divinity Hydration Llc 313 Bainbridge St Fl 1 Philadelphia PA 19147-1542 Ph: (877) 348-8333 | Divinity Hydration Llc 313 Bainbridge St Fl 1 Philadelphia PA 19147-1542 Ph: (877) 348-8333 |
| NPI Number | 1427736347 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427736347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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