| NPI | 1457127789 |
|---|---|
| Former Legal Business Name | DIVINITY HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | DEXTER D CROUCH Owner 317-945-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-03-01 |