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Organization
DIVINE HEALTH ACADEMY
Active
Organization
DIVINE HEALTH ACADEMY
Active
Other names
D&C HOME CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DIRIS AFAM (PRESIDENT)
(803) 448-0251
Entity
Organization
Contact information
Practice address
2 1/2 E WARREN ST, 10, SHELBY, NC 28150-5355
(704) 954-4436
(704) 512-0165
Mailing address
5633 MONROE RD, CHARLOTTE, NC 28212-5591
(704) 566-2955
(704) 566-2957
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
4484
NC
251F00000X
Home Infusion Agency
4484
NC
251J00000X
Nursing Care Agency
4484
NC
251K00000X
Public Health or Welfare Agency
4484
NC
253Z00000X
In Home Supportive Care Agency
Primary
4484
NC
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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