Organization
DIVINE DME SERVICES
Active
Parent organization
DIVINE HOME CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE HOME CARE, LLC
Authorized official
MRS. FLORINE FLEMING RN (OWNER, SERVICE DIRECTOR)
(910) 904-2377
Entity
Organization
Contact information
Practice address
755A S MAIN ST, RAEFORD, NC 28376-3238
(910) 904-2377
(910) 904-2477
Mailing address
755A S MAIN ST, RAEFORD, NC 28376-3238
(910) 904-2377
(910) 904-2477
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HC2882
NC
Other
Enumeration date
09/17/2010
Last updated
09/30/2010
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