DIVINE FAMILY CARE LLC is an intermediate care facility mentally retarded in Citrus Heights, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DIVINE FAMILY CARE LLC NPI is 1891107231. The provider is registered as an organization entity type.
The provider's business location address is:
8194 SUNRISE BLVD
CITRUS HEIGHTS, CA
ZIP 95610-535
Phone: (916) 600-7989
The provider's authorized official is Georgenia Chiegeonu Aka .
The authorized official title is Administrator and has the following contact phone number (916) 600-7989.
The CLIA number assigned to this NPI record is 05D1092873 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/20/2014 and was last updated on 5/20/2014.