| NPI | 1588428528 |
|---|---|
| Doing Business As | DIVINE PROVIDENCE HEALTHCARE, LLC |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN NWANONENYI CEO 215-954-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |