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Organization

DIVINE HEALTH CARE AGENCY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASBIR KAUR (CEO)
(571) 233-3904
Entity
Organization

Contact information

Practice address
22279 RAMPSBECK TER, ASHBURN, VA 20148-4146
(571) 439-4741
Mailing address
22279 RAMPSBECK TER, ASHBURN, VA 20148-4146

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
372500000X
Chore Provider
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
385H00000X
Respite Care

Other

Enumeration date
08/07/2024
Last updated
02/24/2025
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