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Organization
DIVINE GRACE HOME HEALTH LLC
Active
Organization
DIVINE GRACE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORA BOATENG BSN, RN (CO-CEO)
(614) 674-2626
Entity
Organization
Contact information
Practice address
71 COSNER RD, LOUISA, VA 23093-2834
(614) 477-2761
Mailing address
71 COSNER RD, LOUISA, VA 23093-2834
(614) 477-2761
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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