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NPI Code Detail

MEDICARE: DIVINE HEALING HOME CARE SOLUTIONS, LLC

MEDICARE: DIVINE HEALING HOME CARE SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1568188134
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIVINE HEALING HOME CARE SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 9301 W MANOR CT
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-1728
Country : US
Telephone Number : 773-656-2528
Fax Number :
Provider Business Practice Location Address
First Line : 9301 W MANOR CT
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-1728
Country : US
Telephone Number : 773-656-2528
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : RASHIDAT DADA
Credential :
Telephone Number : 773-655-2428
Provider Enumeration Date : 10/17/2022
Last Update Date : 10/17/2022

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Directions to “DIVINE HEALING HOME CARE SOLUTIONS, LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.