Organization
DIVINE DESTINATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA L NEAL (OWNER/MANAGER)
(219) 382-1000
Entity
Organization
Contact information
Practice address
6111 HARRISON ST, MERRILLVILLE, IN 46410-2969
(219) 382-0100
Mailing address
6883 TYLER ST, MERRILLVILLE, IN 46410-3337
(219) 382-0100
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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