# DIVINE HAVEN HOME CARE, LL C

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

## Provider details

- **NPI number:** 1255892311
- **Authorized official:** PATRICIA GUY (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (434) 857-2808

## Contact information

- **Practice address:** 2020 RIVERSIDE DR STE C, DANVILLE, VA 24540-4350
- **Practice address phone:** (434) 770-0693
- **Mailing address:** 2020 RIVERSIDE DR STE C, DANVILLE, VA 24540-4350
- **Mailing address phone:** (434) 857-2808
- **Mailing address fax:** (434) 857-2587

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2019
- **Last updated:** 07/03/2019