Organization
DIVINE GIFTED HANDS HOME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE DE JESUS (ADMINISTRATOR)
(267) 333-4682
Entity
Organization
Contact information
Practice address
1216 E HUNTING PARK AVE FL 2, PHILADELPHIA, PA 19124-4928
(267) 686-8429
(267) 538-3909
Mailing address
1216 E HUNTING PARK AVE FL 2, PHILADELPHIA, PA 19124-4928
(267) 686-8429
(267) 538-3909
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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