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Organization

DIVINE ANGELS HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWNTA SIMS (OWNER)
(402) 686-6982
Entity
Organization

Contact information

Practice address
4611 S 96TH ST STE 227, OMAHA, NE 68127-1243
(402) 201-4969
Mailing address
4611 S 96TH ST STE 227, OMAHA, NE 68127-1243
(402) 201-4969

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HHA202206
NE
Enumeration date
11/17/2022
Last updated
11/17/2022
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