# EL & DIVINE HOME HEALTH CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1821487950
- **Authorized official:** MRS. VIDA A ADUSEI-POKU (ADMINISTRATOR/ OWNER)
- **Authorized official phone:** (703) 987-5052

## Contact information

- **Practice address:** 3330 BOURBON ST STE 108, FREDERICKSBURG, VA 22408-7333
- **Practice address phone:** (540) 689-0333
- **Practice address fax:** (540) 689-0333
- **Mailing address:** 3330 BOURBON ST STE 108, FREDERICKSBURG, VA 22408-7333
- **Mailing address phone:** (540) 689-0333
- **Mailing address fax:** (540) 689-0333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-151153 | VA | Yes |

## Other

- **Enumeration date:** 01/13/2015
- **Last updated:** 01/13/2015