Organization
DIVINE IN-HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY WATSON (EXECUTIVE DIRECTOR)
(816) 405-7502
Entity
Organization
Contact information
Practice address
7711 N OAK TRFY STE H, KANSAS CITY, MO 64118-1763
(816) 405-7502
(816) 673-1172
Mailing address
7711 N OAK TRFY STE H, KANSAS CITY, MO 64118-1763
(816) 405-7502
(816) 673-1172
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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