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Organization
DIVINE HOME HEALTH INC.
Active
Organization
DIVINE HOME HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAUSTINA NKOLI ANIKAMADU (DIRECTOR)
(847) 971-9631
Entity
Organization
Contact information
Practice address
420 WRIGHT DR, LAKE IN THE HILLS, IL 60156-6234
(847) 971-9631
Mailing address
420 WRIGHT DR, LAKE IN THE HILLS, IL 60156-6234
(847) 971-9631
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NOT ISSUED YET
IL
Other
Enumeration date
02/12/2007
Last updated
07/23/2008
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