| NPI | 1477448249 |
|---|---|
| Doing Business As | DIVINE HOME CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | WANKETHIA JOHNSON CEO 833-385-3874 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |