Organization
DIVINE HOME HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUTIAT KUFORIJI (OWNER)
(773) 829-1348
Entity
Organization
Contact information
Practice address
9245 CALUMET AVE, STE 107, MUNSTER, IN 46321-2821
(773) 829-1348
Mailing address
9245 CALUMET AVE, STE 107, MUNSTER, IN 46321-2821
(773) 829-1348
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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