DA
DIVINITY ADULT FAMILY HOME, LLC
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
VANCOUVER, WA
Licensed since
2014
Rate
—
Federal identifiers
NPI registry number1568862134
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameAMBER JACOBS
TitleCEO/RN
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