Organization
PURE DIVINE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRINA ELIJAH (CEO/OWNER)
(314) 319-2168
Entity
Organization
Contact information
Practice address
4144 LINDELL BLVD STE 326, SAINT LOUIS, MO 63108-2953
(314) 319-2168
(774) 283-7585
Mailing address
1312 NORCHESTER DR, SAINT LOUIS, MO 63137-1405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
04/05/2022
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