Organization
DIVINE HOME AND ADULT CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY E GARDNER (MANAGING DIRECTOR)
(770) 876-9882
Entity
Organization
Contact information
Practice address
17 E MANNING ST, SUITE A, CHATTANOOGA, TN 37405-3998
(423) 785-3000
Mailing address
PO BOX 16125, CHATTANOOGA, TN 37416-0125
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
I000000007989
TN
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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