Organization · Type 2 NPI

Divine Grace In-Home & Private Healthcare Service

Home Health Agency · Raleigh, NC

NPI number 1083006647 Active

Practice location

3535 S Wilmington St Ste 202, 3535 South Wilmington Street Suite 202
Raleigh, NC 27603-3512

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	HC4729 (NC)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1083006647
Entity type: Organization (Type 2)
Issued: Feb 19, 2015
Last updated: Feb 19, 2015
Status: Active
Subpart: Yes of Divine Grace In-Home & Private Healthcare Service

Other names

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Divine Grace In-Home & Private Healthcare Service · doing business as

Authorized official

David JR Griffin
Owner
(919) 796-0734

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About NPI 1083006647

Divine Grace In-Home & Private Healthcare Service's National Provider Identifier is 1083006647, issued on Feb 19, 2015. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Raleigh, NC. The record was last updated on Feb 19, 2015.