Organization
DIVINE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE DEBRA JONES RN (OWNER/PARTNER)
(360) 747-7716
Entity
Organization
Contact information
Practice address
4555 NE 66TH AVE, VANCOUVER, WA 98661-3181
(360) 314-2561
(360) 314-2943
Mailing address
1118 20TH AVE, LONGVIEW, WA 98632-2222
(360) 747-7716
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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