Divine Care LLC

NPI #1548586191 in Lakeville, Minnesota

Provider Information

NPI Number: 1548586191
Entity Type: Organization
Organization Name: Divine Care LLC
Primary Specialty: Home Health
Enumeration Date: Apr 7, 2010
Last Updated: Jan 5, 2017

Practice Location

Address: 16125 HYLAND AVE
City: Lakeville
State: Minnesota
ZIP Code: 55044-8883
Phone: (612) 423-9765

Authorized Official

Name: MRS. FENTEZIA ZEWDIE, RN
Title: OWNER
Phone: (612) 423-9765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
Home Health	251E00000X	Primary

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