Organization
DIVINE HEALTHCARE CORPORATION
Active
Other names
DIVINE HEALTHCARE NETWORK
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CHINWE OBI (ADMINISTRATOR/CEO/DON)
(651) 665-9795
Entity
Organization
Contact information
Practice address
856 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4807
(651) 665-9795
(651) 665-9796
Mailing address
856 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4807
(651) 665-9795
(651) 665-9796
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
205335700
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326150343
—
MN
01
—
167251
UCARE
MN
01
—
181647
U CARE MINNESOTA
MN
01
—
1Z68UN
BLUE CROSS BLUE SHIELD
MN
01
—
5900021
MEDICA
MN
01
—
65531
HEALTH PARTNERS
MN
01
—
922134016
MHP: MINNESOTA HEALTH PLA
MN
Enumeration date
08/31/2006
Last updated
12/27/2024
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