Organization · Type 2 NPI

Divine Recovery Home Inc

Supports Brokerage Agency · Antioch, CA

NPI number 1679478663 Active

Practice location

801 E 18th St
Antioch, CA 94509-2835

Fax (925) 226-2424

Specialties and licenses

TaxonomyCodeLicense
Supports Brokerage Agency Primary 251X00000XNone listed
Respite Care 385H00000XNone listed

Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …

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About NPI 1679478663

Divine Recovery Home Inc's National Provider Identifier is 1679478663, issued on Oct 10, 2026. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Antioch, CA. The record was last updated on Oct 10, 2026.