Organization
DIVINE ANGELS HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLLINKA M COULTER (OWNER)
(937) 369-7024
Entity
Organization
Contact information
Practice address
723 BAKEWELL ST APT 11, COVINGTON, KY 41011-1205
(937) 369-7024
Mailing address
PO BOX 72245, NEWPORT, KY 41072-0245
(937) 369-7024
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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