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Organization

DIVINE GRACE HOMECARE AGENCY, LLC

Active
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Organization

DIVINE GRACE HOMECARE AGENCY, LLC

Active
Other names
Divine Grace Homecare Agency, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
SHERIFAT ANIMASHAUN (OWNER)
(336) 210-8014
Entity
Organization

Contact information

Practice address
4008 BOBTAIL CT, GREENSBORO, NC 27405-9808
(336) 210-8014
Mailing address
4008 BOBTAIL CT, GREENSBORO, NC 27405-9808
(336) 210-8014

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—

Other

Enumeration date
10/03/2024
Last updated
10/03/2024
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