Organization
DIVINE NURSING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE NICOLE EVERAGE (ADMINISTRATOR)
(267) 982-6169
Entity
Organization
Contact information
Practice address
132 W LOGAN ST, PHILADELPHIA, PA 19144-3620
(267) 289-4511
Mailing address
132 W LOGAN ST, PHILADELPHIA, PA 19144-3620
(267) 289-4511
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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