DIVINE FAMILY CARE HOME NPI 1639351703

NPI Information

DIVINE FAMILY CARE HOME is an assisted living facility in Louisburg, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. DIVINE FAMILY CARE HOME NPI is 1639351703. The provider is registered as an organization entity type.

The provider's business location address is:

113 JUSTICE ST
LOUISBURG, NC
ZIP 27549-331
Phone: (919) 853-2700
Fax: (919) 853-7527

The provider's authorized official is Chris O Isijola .
The authorized official title is President/owner and has the following contact phone number (919) 880-4619.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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