Divine Mercy Health Care LLC

NPI #1134930258 in Edmond, Oklahoma

Provider Information

NPI Number: 1134930258
Entity Type: Organization
Organization Name: Divine Mercy Health Care LLC
Primary Specialty: Home Health
Enumeration Date: Jan 17, 2025
Last Updated: Jan 17, 2025

Practice Location

Address: 820 IRISH LN STE E
City: Edmond
State: Oklahoma
ZIP Code: 73003-5879
Phone: (206) 209-7246

Authorized Official

Name: NICOLINE FOMUNYAM-GWANDIMA
Title: OWNER
Phone: (206) 209-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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