Organization Name: | DEVINE HOME HEALTH CARE LLC |
NPI Number: | 1790144392 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANISSA JU MALE (MEMBER) |
Mailing Address: | 3821 N 15th Ave Phoenix |
State: | AZ US |
Postal Code: | 850155545 |
Phone Number: | 6028998182 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2016 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |