Provider Demographics
NPI:1770233959
Name:DIVINE LOVE HOME CARE LLC
Entity Type:Organization
Organization Name:DIVINE LOVE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NJANIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-784-8393
Mailing Address - Street 1:23 SHOREHAM DR
Mailing Address - Street 2:
Mailing Address - City:EAST FALLOWFIELD TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:19320-3953
Mailing Address - Country:US
Mailing Address - Phone:484-784-8393
Mailing Address - Fax:
Practice Address - Street 1:23 SHOREHAM DR
Practice Address - Street 2:
Practice Address - City:EAST FALLOWFIELD TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:19320-3953
Practice Address - Country:US
Practice Address - Phone:484-784-8393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health