Organization
DIVINE GRACE HOMECARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATONDO CHANTAL SOKO (OWNER)
(919) 247-9158
Entity
Organization
Contact information
Practice address
189 WIND CHIME CT, RALEIGH, NC 27615-6479
(919) 247-9158
Mailing address
189 WIND CHIME CT STE 104F, RALEIGH, NC 27615-6479
(919) 247-9158
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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