Organization
DIVINE HOME CARE, LLC
Active
Parent organization
DIVINE HOME CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE HOME CARE, LLC
Authorized official
MRS. FLORINE L FLEMING RN (OWNER, SERVICE DIRECTOR)
(910) 904-2377
Entity
Organization
Contact information
Practice address
751 S MAIN ST, SUITE B, RAEFORD, NC 28376-3238
(910) 904-2377
(910) 904-2477
Mailing address
751 S MAIN ST, SUITE B, RAEFORD, NC 28376-3238
(910) 904-2377
(910) 904-2477
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2882
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601209
—
NC
Enumeration date
03/27/2007
Last updated
05/06/2009
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