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General NPI Number Information
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NPI Number | 1811611924
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Entity Type | Organization
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Legal Business Name | DIVINELINK CARE SERVICES LLC
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 7404 EXECUTIVE PL
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City | LANHAM
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State | MD
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Zip | 20706-2268
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Country | US
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Telephone | 240-691-8518
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Fax |
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Provider Business Mailing Address
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Address Line | 7375 EXECUTIVE PL STE 100
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City | LANHAM
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State | MD
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Zip | 20706-6234
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Country | US
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Telephone | 240-691-8518
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SCHOLARSTICA OSUAGWU
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Credential |
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Telephone | 240-691-8518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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