Divine Innovation Services LLC
NPI #1578324141 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1578324141
- Entity Type
- Organization
- Organization Name
- Divine Innovation Services LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jan 19, 2024
- Last Updated
- Apr 29, 2025
Practice Location
- Address
- 120 CAPCOM AVE STE 102B
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-6537
- Phone
- (919) 675-8937
Authorized Official
- Name
- TRACIE LANAE PEARSALL
- Title
- ADMINISTRATOR
- Phone
- (919) 675-8937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Community/Behavioral Health |
| Non-emergency Medical Transport (VAN) |
| Respite Care |
| Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child |
| Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child |
| In Home Supportive Care |
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