Divine Health Support Llc

LBN: Divine Health Support Llc
Divine Health Support Llc is an health care organization with primary practice located at 2050 Hanson Ln , Woodbridge VA 22191-4545. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Divine Health Support Llc can be contacted via phone (571) 331-8483, or through Safo, Augustine via phone (571) 331-8483.

Contact Information

Primary practice address
2050 Hanson Ln Woodbridge VA 22191-4545
Phone: (571) 331-8483
Fax: (703) 551-0012
Website:
Map and Directions
Authorized official contact:
Name: Safo, Augustine
Phone: (571) 331-8483

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1225426083
LBN Legal business name Divine Health Support Llc
DBA Doing business as
Authorized official Safo, Augustine
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2015
Last updated Jan 2nd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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