| NPI | 1578324141 |
|---|---|
| Doing Business As | DIVINE INNOVATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | TRACIE LANAE PEARSALL Administrator 919-675-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385HR2050X Respite Care, Respite Care Camp |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 251E00000X Home Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-20 |