Organization
DIVINE PROVIDENCE HEATLH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL LYNN VERSCHELDE (ADMINISTRATOR/CEO)
(507) 694-2010
Entity
Organization
Contact information
Practice address
312 E GEORGE ST, IVANHOE, MN 56142-9707
(507) 694-1414
Mailing address
312 E GEORGE ST, PO BOX 136, IVANHOE, MN 56142-9707
(507) 694-1414
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
331268
MN
Other
Enumeration date
07/10/2006
Last updated
05/12/2010
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