Organization
DIVINE SAVIOR HEALTHCARE INC.
Active
Parent organization
DIVINE SAVIOR HEALTHCARE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE SAVIOR HEALTHCARE INC.
Authorized official
MICHAEL DECKER (PRESIDENT)
(952) 653-2528
Entity
Organization
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 742-4131
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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