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General NPI Number Information
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NPI Number | 1255892311
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Entity Type | Organization
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Legal Business Name | DIVINE HAVEN HOME CARE, LL C
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 2020 RIVERSIDE DR STE C
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City | DANVILLE
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State | VA
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Zip | 24540-4350
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Country | US
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Telephone | 434-770-0693
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 RIVERSIDE DR STE C
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City | DANVILLE
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State | VA
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Zip | 24540-4350
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Country | US
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Telephone | 434-857-2808
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Fax | 434-857-2587
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | PATRICIA GUY
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Credential |
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Telephone | 434-857-2808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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