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Divine Purpose Services Limited LLC

Case Management in Rock Hill, SC. Organization (NPI-2).

NPI number1679116156
StatusActive
Last updated in NPPESFeb 21, 2020

Details

NPI
1679116156
Entity type
Organization (NPI-2)
Legal business name
Divine Purpose Services Limited LLC
Organization subpart
No
Enumeration date
Oct 28, 2019
Certification date
Feb 21, 2020
Last updated
Feb 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes
251S00000X Community/Behavioral Health––

Practice location

2025 Ebenezer Rd Ste J4
Rock Hill, SC 29732-1079

Phone 704-300-5544

Mailing address

100 Leslie Dr
Shelby, NC 28152-0757

Phone 704-300-5544

Authorized official

Brandy Ussery
Owner
7043005544

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