| NPI | 1730908187 |
|---|---|
| Doing Business As | DIVINE GRACE HOMECARE AGENCY, LLC |
| Entity Type | Organization |
| Authorized Contact | SHERIFAT ANIMASHAUN Owner 336-210-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |