Divine Heritage Healthcare, LLC.

Organization Active NPI Developmentally Disabled Services Day Training Agency · Hillside, NJ

NPI 1477037430 · NPPES record last updated Sep 17, 2018

Key facts

NPI
1477037430
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
DIVINE HERITAGE HEALTHCARE, LLC.
Practice address
1413 Orchard Ter
Hillside, NJ 07205-1826
Phone
(908) 937-6279
NPI assigned
Sep 17, 2018
Organization subpart
No

Authorized official

Name
Dr. Babatunde Olusegun Adeboye, PHARMD, MBA
Title
Manager
Phone
(908) 937-6279

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

1413 Orchard Ter
Hillside, NJ 07205-1826

Mailing address

1413 Orchard Ter
Hillside, NJ 07205-1826
Phone (908) 937-6279

Other providers in Hillside, NJ

All providers in Hillside, NJ · Developmentally Disabled Services Day Training Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.