Divine Support Center LLC

Organization Active NPI Homemaker · Denver, CO

NPI 1407500747 · NPPES record last updated Feb 6, 2022

Key facts

NPI
1407500747
Entity type
Organization (NPI type 2)
Primary specialty
Homemaker 376J00000X
Legal business name
DIVINE SUPPORT CENTER LLC
Practice address
7900 E Union Ave Ste 1100
Denver, CO 80237-2746
Phone
(843) 605-5717
NPI assigned
Feb 6, 2022
Organization subpart
No

Authorized official

Name
Gino Kodjo Houanye
Title
Ceo
Phone
(843) 605-5717

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker
Group: 193200000X MULTI-SPECIALTY GROUP
376J00000X Yes

Addresses

Primary practice location

7900 E Union Ave Ste 1100
Denver, CO 80237-2746

Mailing address

7900 E Union Ave Ste 1100
Denver, CO 80237-2746
Phone (843) 605-5717

Other providers in Denver, CO

All providers in Denver, CO · Homemaker in Colorado

Sources for this page

Verify at the official NPI Registry.