NPI 1437199619

Divine Ventures LLC

Organisation Durable Medical Equipment & Medical Supplies Brockton, MA

Practice location

Address: 5 Main St, Brockton, MA 02301-4026
Phone: (508) 584-2855
Fax: (508) 584-2866

Authorised official

Name: Debbie Omowunmi Sorinmade
Title: President
Phone: (617) 680-7614

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 332B00000X (MA)

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Registry record

NPI: 1437199619
Entity type: Organization
NPI issued: 7 Jun 2006
Record last updated: 21 Jul 2022

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.