Organization
DIVINE HEARTS HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENITA DICKENS BETHEA (OWNER)
(252) 977-3711
Entity
Organization
Contact information
Practice address
846 COUNTRY CLUB RD, ROCKY MOUNT, NC 27804-1706
(252) 977-3711
(252) 977-3211
Mailing address
846 COUNTRY CLUB RD, ROCKY MOUNT, NC 27804-1706
(252) 977-3711
(252) 977-3211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3518
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418370
—
NC
05
—
6601610
—
NC
Enumeration date
02/05/2007
Last updated
03/17/2008
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