Organization
DIVINE HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMONA KAYE ESTES RN CEO (CEO)
(918) 647-7829
Entity
Organization
Contact information
Practice address
446 SOUTH B, CROWDER, OK 74430
(918) 334-5580
(918) 334-5581
Mailing address
446 SOUTH B STREET, PO BOX 388, CROWDER, OK 74430
(918) 334-5580
(918) 334-5581
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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