# DIVINE CARE HOME CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DIVINE CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043046220
- **Authorized official:** NAMIR H COLES (OWNER)
- **Authorized official phone:** (844) 954-5334

## Contact information

- **Practice address:** 6150 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3820
- **Practice address phone:** (844) 954-5334
- **Practice address fax:** (706) 262-7888
- **Mailing address:** 2047 CHANUPA CT, GROVETOWN, GA 30813-3817
- **Mailing address phone:** (844) 954-5334
- **Mailing address fax:** (706) 262-7888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/12/2024
- **Last updated:** 09/12/2024