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Organization
DIVINE HOMECARE LLC
Active
Organization
DIVINE HOMECARE LLC
Active
Parent organization
DIVINE HOMECARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE HOMECARE LLC
Authorized official
MRS. FLORINE L FLEMING (OWNER/SERVICE DIRECTOR)
(910) 904-2377
Entity
Organization
Contact information
Practice address
5511 RAEFORD RD, FAYETTEVILLE, NC 28304-2057
(910) 429-7481
(910) 429-7480
Mailing address
751 S MAIN ST, SUITE B, RAEFORD, NC 28376-3258
(910) 904-2377
(910) 904-2477
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3012
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601209
—
NC
Enumeration date
05/06/2009
Last updated
05/06/2009
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