# DIVINE HOME HEALTH CARE AGENCY

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

## Provider details

- **NPI number:** 1639435977
- **Authorized official:** KWABENA A DODI (PRESIDENT)
- **Authorized official phone:** (757) 965-3970

## Contact information

- **Practice address:** 325 E BAYVIEW BLVD, SUITE 207, NORFOLK, VA 23503-5200
- **Practice address phone:** (757) 713-0206
- **Mailing address:** 325 E BAYVIEW BLVD, SUITE 207, NORFOLK, VA 23503-5200
- **Mailing address phone:** (757) 965-3970
- **Mailing address fax:** (757) 965-3971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2012
- **Last updated:** 01/24/2013