Organization
DIVINE INTERVENTION HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRENA ARMETTA HARRIS RN (ADMINISTRATOR)
(708) 821-5448
Entity
Organization
Contact information
Practice address
2158 45TH ST STE 303, HIGHLAND, IN 46322-3742
(708) 821-5448
(708) 566-5293
Mailing address
2158 45TH ST STE 303, HIGHLAND, IN 46322-3742
(708) 821-5448
(708) 566-5293
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/15/2009
Last updated
11/15/2009
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