Organization
DIVINE HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA R ABDON R.N. (ADMINISTRATOR)
(773) 912-4147
Entity
Organization
Contact information
Practice address
6802 S TALMAN AVE, CHICAGO, IL 60629-1824
(773) 912-4147
(773) 925-5256
Mailing address
6802 S TALMAN AVE, CHICAGO, IL 60629-1824
(773) 912-4147
(773) 925-5256
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010922
IL
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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