Organization
TRULY DIVINE AT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HARLEY (ORGANIZER)
(920) 369-8884
Entity
Organization
Contact information
Practice address
N8319 CTY N, NESHKORO, WI 54960
(920) 369-8884
Mailing address
N8319 CTY N, NESHKORO, WI 54960
(920) 369-8884
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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