Organization
DIVINE HOME CARE INC
Active
Parent organization
DIVINE HOMECARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE HOMECARE LLC
Authorized official
MS. FLORINE L FLEMING RN LIC #. 146850 (PRESIDENT)
(910) 904-2377
Entity
Organization
Contact information
Practice address
310 BIRCH ST, RAEFORD, NC 28376-3297
(910) 904-2377
(910) 904-2477
Mailing address
310 BIRCH ST, RAEFORD, NC 28376-3297
(910) 904-2377
(910) 904-2477
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
HC2882
NC
251B00000X
Case Management Agency
HC2882
NC
251E00000X
Home Health Agency
HC2882
NC
253J00000X
Foster Care Agency
HC2882
NC
253Z00000X
In Home Supportive Care Agency
HC2882
NC
332B00000X
Durable Medical Equipment & Medical Supplies
HC2882
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408217
—
NC
Enumeration date
05/07/2009
Last updated
10/06/2014
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