# DIVINE HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1861019184
- **Authorized official:** HENRIETTA HENRIETTA (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (301) 916-6276

## Contact information

- **Practice address:** 22430 GLENBOW WAY, CLARKSBURG, MD 20871-9482
- **Practice address phone:** (301) 916-6276
- **Mailing address:** 22430 GLENBOW WAY, CLARKSBURG, MD 20871-9482
- **Mailing address phone:** (301) 916-6276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/02/2020
- **Last updated:** 07/02/2020