Organization
DIVINITY HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDIS RENEE MCCARTHY (CEO)
(336) 423-6795
Entity
Organization
Contact information
Practice address
8011 N POINT BLVD BLDG STE A-4, WINSTON SALEM, NC 27106-3879
(336) 999-7121
Mailing address
8011 N POINT BLVD STE A-4, WINSTON SALEM, NC 27106-3879
(336) 999-7121
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
03/20/2021
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