Divine Nurturing Homecare Services, INC.
Home Health in Maple Grove, MN. Organization (NPI-2).
NPI number1063712164
StatusActive
Last updated in NPPESMar 17, 2024
Details
- NPI
- 1063712164
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Nurturing Homecare Services, INC.
- Organization subpart
- No
- Enumeration date
- Oct 24, 2010
- Certification date
- Mar 17, 2024
- Last updated
- Mar 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251J00000X | Nursing Care | – | – |
Practice location
14697 80th Pl N Ste MlMaple Grove, MN 55311-2154
Phone 763-390-2590
Mailing address
14697 80th Pl. N. Suite #mlP O Box 1681
Maple Grove, MN 55311-6681
Phone 763-390-2590
Authorized official
Anthony Adanene
Authorized Official
7633902590
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