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Divine Alternative Personal Care Home
Point of Service in Lithonia, Georgia
NPI 1407114879

Divine Alternative Personal Care Home is a Point of Service based in Lithonia, GA. Divine Alternative Personal Care Home practices in Lithonia, GA. The NPI Number for Divine Alternative Personal Care Home is 1407114879 and holds a License No. (Georgia).

The current practice location address for Divine Alternative Personal Care Home is 1728 Rice Sq, Lithonia, GA and can be reached out via phone at 404-981-4056.

Location: 1728 Rice Sq, Lithonia, GA, 30058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407114879
Provider Name
Divine Alternative Personal Care Home
Credential
Provider Entity Type
Organization
Address
1728 Rice Sq, Lithonia, GA, 30058
Phone Number
404-981-4056
Fax Number
Provider Enumeration Date
04/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1728 Rice Sq
City
Lithonia
State
Georgia
Zip
30058-3257
Phone Number
404-981-4056
Fax Number
person
Provider Business Mailing Address Details
Address
1728 Rice Sq
City
Lithonia
State
Georgia
Zip
30058-3257
Phone Number
404-981-4056
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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