# DIVINE HOME NURSING, LLC

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

## Provider details

- **NPI number:** 1144725318
- **Authorized official:** GWENDOLYN M GOLSON (OWNER)
- **Authorized official phone:** (678) 696-7177

## Contact information

- **Practice address:** 2560 MANOR CREEK CT, CUMMING, GA 30041-0518
- **Practice address phone:** (678) 696-7177
- **Mailing address:** 2560 MANOR CREEK CT, CUMMING, GA 30041-0518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | GA | Yes |

## Other

- **Enumeration date:** 03/28/2018
- **Last updated:** 03/28/2018