Organization
DIVINE PURPOSE HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA H WILKERSON (ADMINISTRATOR)
(504) 361-8242
Entity
Organization
Contact information
Practice address
6 SHERBROOKE CT, HARVEY, LA 70058-7454
(504) 361-8242
(504) 361-3700
Mailing address
15 5TH ST, GRETNA, LA 70053-4744
(504) 361-8242
(504) 361-3700
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1364797
—
LA
05
—
1905976
—
LA
05
—
1906271
—
LA
Enumeration date
03/14/2008
Last updated
06/18/2009
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