Provider Demographics
NPI:1215229265
Name:DIVINE TOUCH HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:DIVINE TOUCH HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:OKEY
Authorized Official - Last Name:NGENE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-204-6638
Mailing Address - Street 1:1312 7TH ST NW
Mailing Address - Street 2:STE 209
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-1704
Mailing Address - Country:US
Mailing Address - Phone:651-204-6638
Mailing Address - Fax:
Practice Address - Street 1:1312 7TH ST NW
Practice Address - Street 2:STE 209
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-1704
Practice Address - Country:US
Practice Address - Phone:651-204-6638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health