Provider Demographics
NPI:1760286660
Name:DIVINE TOUCH HEALTH SYSTEMS
Entity type:Organization
Organization Name:DIVINE TOUCH HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIVINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ETANG
Authorized Official - Suffix:SR
Authorized Official - Credentials:RN
Authorized Official - Phone:346-368-6193
Mailing Address - Street 1:2257 UPTON AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-4468
Mailing Address - Country:US
Mailing Address - Phone:346-368-6193
Mailing Address - Fax:
Practice Address - Street 1:2257 UPTON AVE APT 302
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-4468
Practice Address - Country:US
Practice Address - Phone:346-368-6193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health