DIVINE PROVIDENCE HEALTH CTR

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

247197

Ownership Type:

Voluntary Non Profit - Religious Affiliations

Date Certified:

06-20-1985

Address:

312 EAST GEORGE STREET

City, State, Zip:

IVANHOE , MN 56142

County:

LINCOLN

Country:

Phone:

5076942010

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