Divine Grace In-Home & Private Healthcare Service

NPI #1083006647 in Raleigh, North Carolina

Provider Information

NPI Number: 1083006647
Entity Type: Organization
Organization Name: Divine Grace In-Home & Private Healthcare Service
Subpart: Yes (part of a larger organization)
Parent Organization: DIVINE GRACE IN-HOME & PRIVATE HEALTHCARE SERVICE
Primary Specialty: Home Health
Enumeration Date: Feb 19, 2015
Last Updated: Feb 19, 2015

Practice Location

Address: 3535 S WILMINGTON ST STE 202
Address 2: 3535 SOUTH WILMINGTON STREET SUITE 202
City: Raleigh
State: North Carolina
ZIP Code: 27603-3512
Phone: (919) 796-0734

Authorized Official

Name: DAVID JR GRIFFIN
Title: OWNER
Phone: (919) 796-0734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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