Organization
DIVINE HEALTH ACADEMY
Active
Other names
D & C HOME CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS AFAM (PRESIDENT)
(803) 448-0251
Entity
Organization
Contact information
Practice address
1622B US HIGHWAY 52 N, ALBEMARLE, NC 28001-9507
(704) 982-5903
(704) 512-0165
Mailing address
5633 MONROE RD, CHARLOTTE, NC 28212-5591
(704) 566-2955
(704) 512-0165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2394
NC
251J00000X
Nursing Care Agency
HC2394
NC
253Z00000X
In Home Supportive Care Agency
HC2394
NC
332B00000X
Durable Medical Equipment & Medical Supplies
HC2394
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC2394
—
NC
Enumeration date
06/20/2016
Last updated
06/20/2016
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