Divine Intervention Healthcare, INC

NPI #1912292806 in Matteson, Illinois

Provider Information

NPI Number: 1912292806
Entity Type: Organization
Organization Name: Divine Intervention Healthcare, INC
Primary Specialty: Home Health
Enumeration Date: Jun 19, 2011
Last Updated: Oct 30, 2012

Practice Location

Address: 4747 LINCOLN MALL DR
Address 2: SUITE 502
City: Matteson
State: Illinois
ZIP Code: 60443-3811
Phone: (708) 248-7662

Authorized Official

Name: MRS. SANDRENA ARMETTA HARRIS, RN
Title: DIRECTOR OF NURSING
Phone: (708) 248-7662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Infusion	251F00000X
Home Health	251E00000X	Primary

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