Organization
DIVINELY GIFTED HOME CARE SERVICES LLC
Active
Parent organization
DIVINELY GIFTED HOME CARE SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINELY GIFTED HOME CARE SERVICES LLC
Authorized official
MS. TISHARAH ANTIONETTE THOMAS (CEO)
(216) 313-2035
Entity
Organization
Contact information
Practice address
4238 WILMINGTON RD, SOUTH EUCLID, OH 44121-3139
(216) 313-2035
Mailing address
4238 WILMINGTON RD, SOUTH EUCLID, OH 44121-3139
(216) 313-2035
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RY000595
—
OH
Enumeration date
03/16/2022
Last updated
03/16/2022
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