Organization
DIVINE HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY MUCHENE RN/BSN (ADMINISTRATOR)
(614) 432-6620
Entity
Organization
Contact information
Practice address
17801 111TH AVE SE, RENTON, WA 98055-6540
(614) 432-6620
Mailing address
17801 111TH AVE SE, RENTON, WA 98055-6540
(614) 432-6620
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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