# DIVINE PROVIDENCE HOME HEALTH AGENCY, INC.

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

## Provider details

- **NPI number:** 1942307145
- **Authorized official:** ARNOLD JAY DONATO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (773) 433-3320

## Contact information

- **Practice address:** 3550 W PETERSON AVE, SUITE 304, CHICAGO, IL 60659-3270
- **Practice address phone:** (773) 433-3320
- **Practice address fax:** (773) 433-3329
- **Mailing address:** 3550 W PETERSON AVE, SUITE 304, CHICAGO, IL 60659-3270
- **Mailing address phone:** (773) 433-3320
- **Mailing address fax:** (773) 433-3329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010341 | IL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 10/05/2012