Organization
DIVINE HOME CARE LLC
Active
Other names
DIVINE HOME CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL A AGYEMAN LPN (MANAGER)
(860) 994-1987
Entity
Organization
Contact information
Practice address
381 RAINBOW RD, WINDSOR, CT 06095-1141
(860) 994-1516
Mailing address
381 RAINBOW RD, WINDSOR, CT 06095-1141
(860) 994-1516
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/11/2018
Last updated
01/19/2024
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