# DIVINE CARE HOME HEALTH SERVICES

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

## Provider details

- **NPI number:** 1235771700
- **Authorized official:** KATYA ROMERO (DIRECTOR)
- **Authorized official phone:** (314) 584-0959

## Contact information

- **Practice address:** 415 CHEZ PAREE DR STE F, HAZELWOOD, MO 63042-3599
- **Practice address phone:** (314) 584-0959
- **Practice address fax:** (314) 310-1932
- **Mailing address:** 415 CHEZ PAREE DR STE F, HAZELWOOD, MO 63042-3599
- **Mailing address phone:** (314) 584-0959

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2019
- **Last updated:** 10/16/2019