Provider Demographics
NPI:1912486507
Name:DIVINE TOUCH HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:DIVINE TOUCH HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CORDELIA
Authorized Official - Middle Name:TOKUNBO
Authorized Official - Last Name:TALABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-343-7474
Mailing Address - Street 1:PO BOX 9154
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-9154
Mailing Address - Country:US
Mailing Address - Phone:484-343-7474
Mailing Address - Fax:215-921-9343
Practice Address - Street 1:116 N 50TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139-2721
Practice Address - Country:US
Practice Address - Phone:484-343-7474
Practice Address - Fax:215-921-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care