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Organization
DIVINE INTERVENTION HEALTHCARE, INC
Active
Organization
DIVINE INTERVENTION HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRENA ARMETTA HARRIS RN (DIRECTOR OF NURSING)
(708) 248-7662
Entity
Organization
Contact information
Practice address
4747 LINCOLN MALL DR, SUITE 502, MATTESON, IL 60443-3811
(708) 248-7662
(708) 248-7682
Mailing address
4747 LINCOLN MALL DR, SUITE 502, MATTESON, IL 60443-3811
(708) 248-7662
(708) 248-7682
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
Other
Enumeration date
06/19/2011
Last updated
10/30/2012
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