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Organization

DIVINE ALLEN'S HEALTHCARE LLC

Active
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Organization

DIVINE ALLEN'S HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCKY K ALLEN CNA (CHIEF EXECUTIVE OFFICER)
(701) 977-0860
Entity
Organization

Contact information

Practice address
3272 9TH ST W APT F, WEST FARGO, ND 58078-7833
(701) 977-0860
Mailing address
3272 9TH ST W APT F, WEST FARGO, ND 58078-7833
(701) 977-0860

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL

Other

Enumeration date
01/27/2025
Last updated
04/23/2025
About Stedi
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