| NPI | 1548724099 |
|---|---|
| Doing Business As | DIVINE CARE FAMILY SERVICES |
| Entity Type | Organization |
| Authorized Contact | STACEY LEE-OWENS Manager 702-689-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2021-03-02 |