Organization · Type 2 NPI

Divine Alternative Personal Care Home

Point of Service · Lithonia, GA

NPI number 1407114879 Active

Practice location

1728 Rice Sq
Lithonia, GA 30058-3257

Mailing address

1728 Rice Square
Lithonia, GA 30058

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: 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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About NPI 1407114879

Divine Alternative Personal Care Home's National Provider Identifier is 1407114879, issued on Apr 24, 2012. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Lithonia, GA. The record was last updated on Apr 24, 2012.