# DIVINE HEALTH CARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTH CARE PROVIDER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770722464
- **Authorized official:** MR. ALEX O WANDE (OWNER)
- **Authorized official phone:** (678) 344-0364

## Contact information

- **Practice address:** 2691 FARMSTEAD CT, GRAYSON, GA 30017-4290
- **Practice address phone:** (678) 344-0364
- **Mailing address:** 2691 FARMSTEAD CT, GRAYSON, GA 30017-4290
- **Mailing address phone:** (678) 344-0364

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 02/19/2009