Organization
DIVINE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASSATA SHERIFF (ADMINISTRATOR)
(612) 703-2986
Entity
Organization
Contact information
Practice address
3307 OHENRY RD, BROOKLYN CENTER, MN 55429-2226
(612) 703-2986
Mailing address
3307 OHENRY RD, BROOKLYN CENTER, MN 55429-2226
(612) 703-2986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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