Organization
DIVINE LOVE HOMECARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. UCHE CHINYERE OBIDIEGWU (PRESIDENT)
(612) 251-6610
Entity
Organization
Contact information
Practice address
4600 OXBOROUGH GDNS, BROOKLYN PARK, MN 55443-3910
(612) 251-6610
Mailing address
4600 OXBOROUGH GDNS, BROOKLYN PARK, MN 55443-3910
(612) 251-6610
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
276662100
MN
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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