# DIVINE HOMECARE

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

## Provider details

- **NPI number:** 1891045894
- **Authorized official:** MISS MICHELLE RENEE BENJAMIN (CEO/OWNER)
- **Authorized official phone:** (505) 293-0758

## Contact information

- **Practice address:** 5704 EL RITO AVE NW, 13404 CLOUDVIEW AVE NE, ALBUQUERQUE, NM 87105-1140
- **Practice address phone:** (505) 293-0758
- **Practice address fax:** (505) 293-0758
- **Mailing address:** 5704 EL RITO AVE NW, ALBUQUERQUE, NM 87105
- **Mailing address phone:** (505) 293-0758
- **Mailing address fax:** (505) 293-0758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 09/17/2012