Organization
DIVINE LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRRY D WILLIAMS (CEO)
(757) 630-5459
Entity
Organization
Contact information
Practice address
1206 LASKIN RD STE 140A, VIRGINIA BEACH, VA 23451-5267
(757) 630-5459
Mailing address
1206 LASKIN RD STE 140A, VIRGINIA BEACH, VA 23451-5267
(757) 630-5459
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/19/2022
Last updated
06/25/2024
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