Organization
DIVINE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY W MUCHENE RN, BSN (DIRECTOR OF NURSING)
(614) 432-6620
Entity
Organization
Contact information
Practice address
3375 VALLEY PARK AVE, COLUMBUS, OH 43231-6123
(614) 432-6620
(614) 470-9676
Mailing address
3375 VALLEY PARK AVE, COLUMBUS, OH 43231-6123
(614) 432-6620
(614) 470-9676
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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