Organization
DIVINE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL CHIKE OKEKE DIRECTOR (PRESIDENT)
(317) 918-7545
Entity
Organization
Contact information
Practice address
4028 VILLAGE TRACE BLVD, INDIANAPOLIS, IN 46254-6218
(317) 918-7545
Mailing address
PO BOX 532491, INDIANAPOLIS, IN 46253-2491
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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