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Organization

LAKEISHA HARRIS, LLC

Active
Other names
Divine Home Health Care Services, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
LAKEISHA HARRIS (AGENCY DIRECTOR/OWNER)
(252) 702-0132
Entity
Organization

Contact information

Practice address
619 NORTH CHURCH STREET, ROCKY MOUNT, NC 27804
(252) 702-0132
Mailing address
809 HILMA CIRCLE, TARBORO, NC 27886

Taxonomy

Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QH0700X
Hearing and Speech Clinic/Center
311ZA0620X
Adult Care Home Facility
372600000X
Adult Companion
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
385H00000X
Respite Care

Other

Enumeration date
11/24/2020
Last updated
11/24/2020
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