Organization
DIVINE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAIMANDA THOMPSON (PRESIDENT)
(757) 604-8863
Entity
Organization
Contact information
Practice address
2206 EXECUTIVE DR, SUITE A, HAMPTON, VA 23666-2583
(757) 224-7124
Mailing address
2206 EXECUTIVE DR, SUITE A, HAMPTON, VA 23666-2583
(757) 224-7124
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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