Divine Supports Services
LBN: Divine Supports Services
Divine Supports Services is an health care organization with primary practice located at 3954 Stratford Rd , Drexel Hill PA 19026-2723. The organization recently has 2 registered licenses in different health care specialties including Agencies / Nursing Care, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization. Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization is the primary health care specialty.
Divine Supports Services can be contacted via phone (484) 358-5535, or through Balogun-Victor, Olufunmilayo via phone (484) 358-5535.
Contact Information
Primary practice address
3954 Stratford Rd
Drexel Hill PA 19026-2723
Phone: (484) 358-5535
Fax:
Website:
Authorized official contact:
Name: Balogun-Victor, Olufunmilayo Registered Nurse (RN)
Phone: (484) 358-5535
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Nursing Care | 251J00000X | RN600719 | Pennsylvania |
| Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | 251T00000X | RN600719 | Pennsylvania |
Profile Details
| NPI number | 1669924866 |
|---|---|
| LBN Legal business name | Divine Supports Services |
| DBA Doing business as | |
| Authorized official | Balogun-Victor, Olufunmilayo Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2016 |
| Last updated | May 3rd, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669924866 | NPPES |
| Pennsylvania | Other | 103220771 | ODP |
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