Organization
DIVINE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY W MUNGAI MBA, BSN/RN (MANAGER)
(614) 432-6620
Entity
Organization
Contact information
Practice address
146 GRANVILLE ST STE A, GAHANNA, OH 43230-3074
(614) 269-7778
(614) 269-7892
Mailing address
146 GRANVILLE ST STE A, GAHANNA, OH 43230-3074
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3046199
—
OH
Enumeration date
05/01/2009
Last updated
07/09/2020
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