Whalio Doctors

NPI 1073280038

Divine Homes Healthcare Services

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Bowie, MD

Practice location

Address
11209 Fruitwood Dr, Bowie, MD 20720-3564
Phone
(240) 696-9303

Authorised official

Name
Idowu Esther Olateju
Title
Director
Phone
(240) 696-9303

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1073280038
Entity type
Organization
NPI issued
26 Aug 2021
Record last updated
26 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.