| Organization Name: | DIVINE MERCY SUPPORTIVE CARE |
| NPI Number: | 1376978833 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN LUNDY (CEO) |
| Mailing Address: | 4045 Pecos St Denver |
| State: | CO US |
| Postal Code: | 802112552 |
| Phone Number: | 3033572540 |
| Fax Number: | 7203983490 |
| NPI Enumeration Date: | 09/03/2013 |
| NPI Last Update Date: | 04/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 17M599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |