Organization
DIVINE HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAIMANDA ORSINI THOMPSON SR. (CEO)
(757) 604-8863
Entity
Organization
Contact information
Practice address
11838 ROCK LANDING DR, NEWPORT NEWS, VA 23606-4232
(757) 604-8863
Mailing address
13195 HARBOR DR, CARROLLTON, VA 23314-3338
(757) 604-8863
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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