| NPI | 1770995219 |
|---|---|
| Doing Business As | DIVINITY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY DONALD ROBERTS Owner 208-546-2051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-05-08 |