Organization
DIRECT SUPPORT PROFESSIONALS, LLC
Active
Other names
Divine Intensive Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FUTRELL (MANAGER)
(571) 298-7075
Entity
Organization
Contact information
Practice address
5248 OLDE TOWNE RD STE 6, WILLIAMSBURG, VA 23188-1986
(757) 800-7028
Mailing address
9404 SUNSET CT APT 423, MANASSAS PARK, VA 20111-8294
(571) 298-7075
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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