| NPI | 1124758834 |
|---|---|
| Doing Business As | SIMPLY DIVINE FACILITATION SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | ANDREO RICARDO WILSON Owner 434-515-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |