# DIVINE HARVEST HOME CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1265396584
- **Authorized official:** YOLANDA HARRIS (ADMINISTRATOR)
- **Authorized official phone:** (678) 544-9234

## Contact information

- **Practice address:** 2605 CORNWALL DR, MCDONOUGH, GA 30253-6875
- **Practice address phone:** (678) 544-9234
- **Practice address fax:** (678) 759-1775
- **Mailing address:** 2605 CORNWALL DR, MCDONOUGH, GA 30253-6875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2025
- **Last updated:** 12/11/2025
