Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Community Health |
363LC1500X | 50 | Nurse Practitioner | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1437517547 |
| LBN Legal business name | DIVINE HOSPICE & PALLIATIVE CARE LLC |
| Authorized official | BINU GEORGE - (AUTHORIZED OFFICIAL) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/03/2016 |
| Last updated | 08/24/2022 - About 4 years ago |
| Identifiers | n/a |
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