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Organization
DIVINE CARE HOMES LLC
Active
Organization
DIVINE CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL THOMAS (OWNER/OPERATOR)
(316) 796-4147
Entity
Organization
Contact information
Practice address
5319 S SPRUCE ST, WICHITA, KS 67216-3246
(316) 796-4147
(316) 529-4510
Mailing address
5319 S SPRUCE ST, WICHITA, KS 67216-3246
(316) 796-4147
(316) 529-4510
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087195
KS
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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