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Organization

DIVINE HAVEN HOME CARE, LL C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA GUY (OWNER/ADMINISTRATOR)
(434) 857-2808
Entity
Organization

Contact information

Practice address
2020 RIVERSIDE DR STE C, DANVILLE, VA 24540-4350
(434) 770-0693
Mailing address
2020 RIVERSIDE DR STE C, DANVILLE, VA 24540-4350
(434) 857-2808
(434) 857-2587

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/29/2019
Last updated
07/03/2019
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