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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
(317) 291-4351
Mailing address
PO BOX 532491, INDIANAPOLIS, IN 46253-2491
(317) 918-7545

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
12/04/2018
Last updated
12/04/2018
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