Organization
DIVINE INTERVENTIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKITA J BUTLER BA (PRESIDENT)
(574) 350-5292
Entity
Organization
Contact information
Practice address
424 N FRANCES ST, UNIT 17, SOUTH BEND, IN 46617-2321
(574) 350-5292
(574) 522-9846
Mailing address
PO BOX 1894, ELKHART, IN 46515-1894
(574) 350-5292
(574) 522-9846
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
13-013251
IN
347C00000X
Private Vehicle
3430456059
IN
Other
Enumeration date
06/28/2013
Last updated
04/09/2014
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