Organization
DIVINE COVENANT STAFFING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY COLLINS RN (DIRECTOR OF NURSING)
(618) 530-0573
Entity
Organization
Contact information
Practice address
1595 LOIS ANN LN, NAPERVILLE, IL 60563-0466
(618) 530-0573
Mailing address
1595 LOIS ANN LN, NAPERVILLE, IL 60563-0466
(618) 530-0573
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251J00000X
Nursing Care Agency
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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