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General NPI Number Information
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NPI Number | 1013775683
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Entity Type | Organization
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Legal Business Name | DIVINE DESTINY HOME HEALTH CARE AGENCY LLC
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 8728 GRENADA DR
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City | CINCINNATI
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State | OH
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Zip | 45231-4519
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Country | US
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Telephone | 513-560-1294
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Fax |
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Provider Business Mailing Address
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Address Line | 8728 GRENADA DR
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City | CINCINNATI
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State | OH
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Zip | 45231-4519
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Country | US
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Telephone | 513-560-1294
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS LETISHA LYNETTE HONAKER
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Credential |
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Telephone | 513-560-1294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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