Organization
DIVINE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA MARIE MCKENZIE (OWNER)
(412) 875-6018
Entity
Organization
Contact information
Practice address
1110 CHARTIERS AVE, MC KEES ROCKS, PA 15136-3736
(412) 875-6018
(412) 875-6044
Mailing address
1110 CHARTIERS AVE, MC KEES ROCKS, PA 15136-3736
(412) 875-6018
(412) 875-6044
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03790501
PA
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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