# DIVINE HOME AND ADULT CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1396041687
- **Authorized official:** TRACY E GARDNER (MANAGING DIRECTOR)
- **Authorized official phone:** (770) 876-9882

## Contact information

- **Practice address:** 17 E MANNING ST, SUITE A, CHATTANOOGA, TN 37405-3998
- **Practice address phone:** (423) 785-3000
- **Mailing address:** PO BOX 16125, CHATTANOOGA, TN 37416-0125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | I000000007989 | TN | Yes |

## Other

- **Enumeration date:** 02/03/2011
- **Last updated:** 02/03/2011