Provider Demographics
NPI:1285413070
Name:DIVINE HELP SERVICES, INC
Entity type:Organization
Organization Name:DIVINE HELP SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OYEGBILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-253-2159
Mailing Address - Street 1:5301 BUCKEYSTOWN PIKE STE 480M
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-8370
Mailing Address - Country:US
Mailing Address - Phone:443-253-2159
Mailing Address - Fax:
Practice Address - Street 1:5301 BUCKEYSTOWN PIKE STE 480M
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8370
Practice Address - Country:US
Practice Address - Phone:443-253-2159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities