| NPI | 1619516580 |
|---|---|
| Doing Business As | DIVINE HOME CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | CLIFFORD CHUKS AFAM Director 980-622-8530 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2019-12-24 |