Organization
DEVINE HEALTHCARE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE ELAINE DEVINE OWNER (PRESIDENT)
(574) 255-4545
Entity
Organization
Contact information
Practice address
2222 HOMEWOOD AVE, MISHAWAKA, IN 46544-3336
(574) 255-4545
(574) 255-7664
Mailing address
PO BOX 17, MISHAWAKA, IN 46546-0017
(574) 255-4545
(574) 255-7664
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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