Organization
DIVINE HOME CARE PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DALITHEA SMALLS (OWNER/ PRESIDENT)
(757) 833-0505
Entity
Organization
Contact information
Practice address
125 ALBERTA DR, NEWPORT NEWS, VA 23602-6546
(757) 833-0505
(757) 833-0065
Mailing address
125 ALBERTA DR, NEWPORT NEWS, VA 23602-6546
(757) 833-0505
(757) 833-0065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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