Organization
DIVINE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE COLEMAN (0WNER)
(804) 731-8584
Entity
Organization
Contact information
Practice address
304 B NEW STREET, LAWRENCEVILLE, VA 23856-2224
(434) 848-2659
(434) 848-2659
Mailing address
1289 BIG HORN RD, FREEMAN, VA 23856-2224
(804) 731-8584
(434) 848-2659
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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