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Organization
DIVINE SAVIOR HEALTHCARE INC
Active
Organization
DIVINE SAVIOR HEALTHCARE INC
Active
Parent organization
DIVINE SAVIOR HEALTHCARE INC
Other names
Divine Savior Healthcare - clinic site
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE SAVIOR HEALTHCARE INC
Authorized official
ABBY SWAN RN (DIRECTOR OF EMERGENCY)
(608) 745-6420
Entity
Organization
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 745-6420
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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