CCN: 297381 NPI: 1902520034 Organization

DIVINE CARELINE HEALTH LLC

2235 E FLAMINGO RD STE 136
LAS VEGAS, NV 891195189

Contact Information

Phone 7022682182
Fax 7022682185
Enumeration Date 2022-10-03
Last Updated 2022-10-03

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 29820

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 29820

providerType 36

specialPaymentIndicator