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Organization
DIVINITY HOMECARE LLC
Active
Organization
DIVINITY HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES VASQUEZ (OWNER/OPERATOR)
(775) 384-6812
Entity
Organization
Contact information
Practice address
3944 KENTWOOD CT, RENO, NV 89503-1824
(775) 384-6812
Mailing address
3944 KENTWOOD CT, RENO, NV 89503-1824
(775) 384-6812
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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