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Organization

DIVINE CARE COLLECTIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YASHICA T RUSSELL RUSSELL (OWNER)
(984) 335-5005
Entity
Organization

Contact information

Practice address
13176 JEFFERSON AVE STE D, NEWPORT NEWS, VA 23608-1322
(757) 773-6304
Mailing address
13176 JEFFERSON AVE STE D, NEWPORT NEWS, VA 23608-1322
(984) 335-5005

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
374U00000X
Home Health Aide
Primary

Other

Enumeration date
03/28/2026
Last updated
04/02/2026
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