Organization
DIVINE HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MICHELLE MILLER REGISTERD NURSE BSN (ADMINISTRATOR)
(276) 644-3120
Entity
Organization
Contact information
Practice address
111 COMMONWEALTH AVE, SUITE 100, BRISTOL, VA 24201-3831
(276) 644-3120
Mailing address
111 COMMONWEATH AVENUE, SUITE100, BRISTOL, VA 24201
(276) 644-3120
(276) 644-3123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/04/2010
Last updated
05/19/2011
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