Provider Demographics
NPI:1639868979
Name:DIVINE HANDS HOMECARE LLC
Entity Type:Organization
Organization Name:DIVINE HANDS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YASSAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-239-0586
Mailing Address - Street 1:16 MASON AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:N ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-6332
Mailing Address - Country:US
Mailing Address - Phone:508-239-0586
Mailing Address - Fax:
Practice Address - Street 1:16 MASON AVE STE 1A
Practice Address - Street 2:
Practice Address - City:N ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-6332
Practice Address - Country:US
Practice Address - Phone:508-239-0586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care