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Divine Senior Home Care Llc
Home Health Agency in Woodbridge, Virginia
NPI 1841707213

Divine Senior Home Care Llc is a Home Health Agency based in Woodbridge, VA. Divine Senior Home Care Llc practices in Woodbridge, VA. The NPI Number for Divine Senior Home Care Llc is 1841707213 and holds a License No. HCO-1790 (Virginia).

The current practice location address for Divine Senior Home Care Llc is 17300 River Ridge Blvd Ste 202A, Woodbridge, VA and can be reached out via phone at 703-677-0506.

Location: 17300 River Ridge Blvd Ste 202A, Woodbridge, VA, 22191-5168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841707213
Provider Name
Divine Senior Home Care Llc
Credential
Provider Entity Type
Organization
Address
17300 River Ridge Blvd Ste 202A, Woodbridge, VA, 22191-5168
Phone Number
703-677-0506
Fax Number
Provider Enumeration Date
01/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17300 River Ridge Blvd Ste 202A
City
Woodbridge
State
Virginia
Zip
22191-5168
Phone Number
703-677-0506
Fax Number
person
Provider Business Mailing Address Details
Address
17300 River Ridge Blvd Ste 202A
City
Woodbridge
State
Virginia
Zip
22191-5168
Phone Number
703-677-0506
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HCO-1790 (Virginia)
Definition
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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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