Divine Home Care Inc.

NPI #1629396437 in Bristol, Virginia

Provider Information

NPI Number
1629396437
Entity Type
Organization
Organization Name
Divine Home Care Inc.
Primary Specialty
Home Health
Enumeration Date
May 4, 2010
Last Updated
May 19, 2011

Practice Location

Address
111 COMMONWEALTH AVE
Address 2
SUITE 100
ZIP Code
24201-3831
Phone
(276) 644-3120

Authorized Official

Name
MRS. KIMBERLY MICHELLE MILLER, REGISTERD NURSE BSN
Title
ADMINISTRATOR
Phone
(276) 644-3120

Specialties & Taxonomy Codes

Specialty
Home Health

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