Provider Demographics
NPI:1194289884
Name:DIVINE TOUCH HOME HEALTHCARE AGENCY
Entity type:Organization
Organization Name:DIVINE TOUCH HOME HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-417-9801
Mailing Address - Street 1:4644 WALFORD RD APT 209
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5179
Mailing Address - Country:US
Mailing Address - Phone:216-417-9801
Mailing Address - Fax:
Practice Address - Street 1:4644 WALFORD RD APT 209
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5179
Practice Address - Country:US
Practice Address - Phone:216-417-9801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-26
Last Update Date:2019-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health