Divine Home Care Inc.

Organization Active NPI Health Maintenance Organization · Crowder, OK

NPI 1811201387 · NPPES record last updated Jul 27, 2010

Key facts

NPI
1811201387
Entity type
Organization (NPI type 2)
Primary specialty
Health Maintenance Organization 302R00000X
Legal business name
DIVINE HOME CARE INC.
Practice address
446 South B
Crowder, OK 74430
Phone
(918) 334-5580
Fax
(918) 334-5581
NPI assigned
Jul 27, 2010
Organization subpart
No

Authorized official

Name
Lamona Kaye Estes, RN CEO
Title
Ceo
Phone
(918) 647-7829

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Yes

Addresses

Primary practice location

446 South B
Crowder, OK 74430

Mailing address

446 South B Street
PO Box 388
Crowder, OK 74430
Phone (918) 334-5580

Other providers in Crowder, OK

All providers in Crowder, OK · Health Maintenance Organization in Oklahoma

Sources for this page

Verify at the official NPI Registry.