Organization
DIVINE ALLEN'S HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCKY K ALLEN CNA (CHIEF EXECUTIVE OFFICER)
(701) 977-0860
Entity
Organization
Contact information
Practice address
3272 9TH ST W APT F, WEST FARGO, ND 58078-7833
(701) 977-0860
Mailing address
3272 9TH ST W APT F, WEST FARGO, ND 58078-7833
(701) 977-0860
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
04/23/2025
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