Organization
DIVINE MERCY HOME HEALTH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REALINO LEOPOLDO GURDIEL JR. (ADMINISTRATOR)
(847) 668-4494
Entity
Organization
Contact information
Practice address
4900 SW GRIFFITH DR STE 261, BEAVERTON, OR 97005-4648
(503) 608-7717
(506) 608-7718
Mailing address
4900 SW GRIFFITH DR STE 261, BEAVERTON, OR 97005-4648
(503) 608-7717
(503) 608-7718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
12/20/2022
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