Divine Health Home Care LLC

NPI #1720854714 in Raytown, Missouri

Provider Information

NPI Number: 1720854714
Entity Type: Organization
Organization Name: Divine Health Home Care LLC
Primary Specialty: Home Health
Enumeration Date: Nov 30, 2023
Last Updated: Nov 30, 2023

Practice Location

Address: 7907 ARLINGTON AVE
City: Raytown
State: Missouri
ZIP Code: 64138-1965
Phone: (816) 898-8403

Authorized Official

Name: DANIELLE E EWING
Title: EXECUTIVE DIRECTOR
Phone: (816) 898-8403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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