# ANNIE'S DIVINE TOUCH HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134994890
- **Authorized official:** BREANNA TOMES (CEO)
- **Authorized official phone:** (804) 454-5610

## Contact information

- **Practice address:** 2807 N PARHAM RD RM 370, HENRICO, VA 23294-4410
- **Practice address phone:** (804) 454-5610
- **Mailing address:** 6405 WOODED GLEN CT APT 201, CHESTER, VA 23831-7790
- **Mailing address phone:** (804) 454-5610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/22/2023
- **Last updated:** 11/22/2023