# DIVINITY HOME HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174766224
- **Authorized official:** MR. VAHE MANUKYAN (PRESIDENT/CEO)
- **Authorized official phone:** (323) 515-3727

## Contact information

- **Practice address:** 4430 SANTA MONICA BLVD, SUITE 101, LOS ANGELES, CA 90029-2014
- **Practice address phone:** (323) 515-3727
- **Practice address fax:** (323) 515-3722
- **Mailing address:** 4430 SANTA MONICA BLVD, SUITE 101, LOS ANGELES, CA 90029-2014
- **Mailing address phone:** (323) 515-3727
- **Mailing address fax:** (323) 515-3722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2009
- **Last updated:** 04/18/2009