Divine Health Llc

LBN: Divine Health Llc
Divine Health Llc is an health care organization with primary practice located at 625 Snelling Ave N Ste A-2 , Saint Paul MN 55104-2878. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Divine Health Llc can be contacted via phone (952) 288-9921, or through Davis, Victor T via phone (952) 288-9921.

Contact Information

Primary practice address
625 Snelling Ave N Ste A-2 Saint Paul MN 55104-2878
Phone: (952) 288-9921
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Victor T
Phone: (952) 288-9921

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1871240267
LBN Legal business name Divine Health Llc
DBA Doing business as
Authorized official Davis, Victor T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2022
Last updated Mar 4th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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