Provider Demographics
NPI:1467158576
Name:DIVINE HANDS HOME HEALTH INC
Entity Type:Organization
Organization Name:DIVINE HANDS HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOISES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-298-1530
Mailing Address - Street 1:365 W 2ND AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4153
Mailing Address - Country:US
Mailing Address - Phone:760-298-1530
Mailing Address - Fax:
Practice Address - Street 1:365 W 2ND AVE STE 211
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4153
Practice Address - Country:US
Practice Address - Phone:760-298-1530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health