# DIVINE HOME CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811201387
- **Authorized official:** LAMONA KAYE ESTES RN CEO (CEO)
- **Authorized official phone:** (918) 647-7829

## Contact information

- **Practice address:** 446 SOUTH B, CROWDER, OK 74430
- **Practice address phone:** (918) 334-5580
- **Practice address fax:** (918) 334-5581
- **Mailing address:** 446 SOUTH B STREET, PO BOX 388, CROWDER, OK 74430
- **Mailing address phone:** (918) 334-5580
- **Mailing address fax:** (918) 334-5581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/27/2010