| NPI | 1053659714 |
|---|---|
| Doing Business As | DIVINE HEALTH CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | DEBRA FOSTER CHINNERY Owner 757-826-0514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0017000454) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2017-02-13 |