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Organization

DIVINE COMFORT HOME HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HAROLD ALLEN (CFO)
(267) 408-1209
Entity
Organization

Contact information

Practice address
6411 N 6TH ST, PHILADELPHIA, PA 19126-3806
(267) 408-1209
Mailing address
6411 N 6TH ST, PHILADELPHIA, PA 19126-3806
(267) 408-1209

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2672250715
BUSINESS PHONE
Enumeration date
08/11/2020
Last updated
08/11/2020
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