Organization
DIVINE NURSE CONSULTANT LLC
Active
Parent organization
DIVINE NURSE CONSULTANT LLC
Other names
Divine Home Care Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE NURSE CONSULTANT LLC
Authorized official
DR. CLIFFORD CHUKS AFAM (DIRECTOR)
(980) 622-8530
Entity
Organization
Contact information
Practice address
5633 MONROE RD, CHARLOTTE, NC 28212-5591
(980) 622-8530
Mailing address
5633 MONROE RD, CHARLOTTE, NC 28212-5591
(980) 622-8530
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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