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General NPI Number Information
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NPI Number | 1477412849
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Entity Type | Organization
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Legal Business Name | DIVINE HOMECARE LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 2201 BUTTONWOOD CIR
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City | HARRISBURG
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State | PA
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Zip | 17110-9205
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Country | US
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Telephone | 717-215-4425
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Fax | 717-652-3067
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Provider Business Mailing Address
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Address Line | 2201 BUTTONWOOD CIR
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City | HARRISBURG
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State | PA
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Zip | 17110-9205
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Country | US
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Telephone | 717-215-4425
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Fax | 717-652-3067
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL INDIVIDUAL
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Name | MRS. OLUTOSIN ADENIKE OLISEH
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Credential | LPN
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Telephone | 717-215-4425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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