# DIVINE HOME HEALTH AND AGENCY

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

## Provider details

- **NPI number:** 1952740631
- **Authorized official:** VIRGINIA ADEGBOYEGA (ADMINISTRATOR)
- **Authorized official phone:** (301) 538-2474

## Contact information

- **Practice address:** 1004 WESTLAKE DR, BOWIE, MD 20721-1848
- **Practice address phone:** (301) 538-2474
- **Mailing address:** 1004 WESTLAKE DR, BOWIE, MD 20721-1848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | RS3419 | MD | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2013
- **Last updated:** 06/17/2013