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Divine Mercy Health Care LLC

Home Health in Edmond, OK. Organization (NPI-2).

NPI number1134930258
StatusActive
Last updated in NPPESJan 17, 2025

Details

NPI
1134930258
Entity type
Organization (NPI-2)
Legal business name
Divine Mercy Health Care LLC
Organization subpart
No
Enumeration date
Jan 17, 2025
Certification date
Jan 17, 2025
Last updated
Jan 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

820 Irish Ln Ste E
Edmond, OK 73003-5879

Phone 206-209-7246

Mailing address

820 Irish Ln Ste E
Edmond, OK 73003-5879

Phone 206-209-7246

Authorized official

Nicoline Fomunyam-Gwandima
Owner
2062097246

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