Organization
DIVINE HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DALITHEA SMALLS (CEO/ADMINISTRATOR)
(757) 768-6021
Entity
Organization
Contact information
Practice address
739 THIMBLE SHOALS BLVD, 503, NEWPORT NEWS, VA 23606-3562
(757) 768-6021
Mailing address
739 THIMBLE SHOALS BLVD, 503, NEWPORT NEWS, VA 23606-3562
(757) 768-6021
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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