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Organization
DIVINE MERCY HOME HEALTH, LLC.
Active
Organization
DIVINE MERCY HOME HEALTH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REALINO LEOPOLDO GURDIEL JR. (ADMINISTRATOR)
(847) 668-4494
Entity
Organization
Contact information
Practice address
4900 SW GRIFFITH DR STE 261, BEAVERTON, OR 97005-4648
(503) 608-7717
(506) 608-7718
Mailing address
4900 SW GRIFFITH DR STE 261, BEAVERTON, OR 97005-4648
(503) 608-7717
(503) 608-7718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
12/20/2022
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