| NPI | 1841707213 |
|---|---|
| Former Legal Business Name | DIVINE SENIOR HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | BUSHRA CHAUDHARY Administrator 703-677-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-1790) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |