Organization
DIVINE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAMILLIAH STATON (OWNER)
(919) 605-6221
Entity
Organization
Contact information
Practice address
8010 RAMSBURG DR, CHARLOTTE, NC 28269-3993
(919) 605-6221
Mailing address
8010 RAMSBURG DR, CHARLOTTE, NC 28269-3993
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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