# PURE DIVINE HOME HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1841930096
- **Authorized official:** CATRINA ELIJAH (CEO/OWNER)
- **Authorized official phone:** (314) 319-2168

## Contact information

- **Practice address:** 4144 LINDELL BLVD STE 326, SAINT LOUIS, MO 63108-2953
- **Practice address phone:** (314) 319-2168
- **Practice address fax:** (774) 283-7585
- **Mailing address:** 1312 NORCHESTER DR, SAINT LOUIS, MO 63137-1405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2022
- **Last updated:** 04/05/2022