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Organization
DIRECT SUPPORT PROFESSIONALS, LLC
Active
Organization
DIRECT SUPPORT PROFESSIONALS, LLC
Active
Other names
Divine Intensive Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FUTRELL (MANAGER)
(571) 298-7075
Entity
Organization
Contact information
Practice address
5248 OLDE TOWNE RD STE 6, WILLIAMSBURG, VA 23188-1986
(757) 800-7028
Mailing address
9404 SUNSET CT APT 423, MANASSAS PARK, VA 20111-8294
(571) 298-7075
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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