Divine Intervention Home Care
NPI #1023649209 in Randleman, North Carolina
Provider Information
- NPI Number
- 1023649209
- Entity Type
- Organization
- Organization Name
- Divine Intervention Home Care
- Primary Specialty
- Home Health
- Enumeration Date
- Jan 28, 2020
- Last Updated
- Oct 10, 2022
Practice Location
- Address
- 2155 WOW RD
- City
- Randleman
- State
- North Carolina
- ZIP Code
- 27317-7951
- Phone
- (336) 267-4517
Authorized Official
- Name
- TRALVIS SHAW
- Title
- CEO
- Phone
- (336) 267-4517
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
| Home Health |
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