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Organization

DIVINE HEALTHCARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA BUFFORD (OWNER)
(314) 532-2021
Entity
Organization

Contact information

Practice address
12681 TREEYARD LN, SAINT LOUIS, MO 63138-1440
(314) 659-6254
Mailing address
12681 TREEYARD LN, SAINT LOUIS, MO 63138-1440
(314) 659-6254

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
25320840
MO

Other

Enumeration date
06/21/2018
Last updated
06/21/2018
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