Divine Healthcare Services, LLC
Home Health in Austell, GA. Organization (NPI-2).
NPI number1851972145
StatusActive
Last updated in NPPESApr 18, 2021
Details
- NPI
- 1851972145
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Healthcare Services, LLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2021
- Certification date
- Apr 18, 2021
- Last updated
- Apr 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
6812 Ivy Log DrAustell, GA 30168-5912
Phone 877-516-4818
Mailing address
6812 Ivy Log DrAustell, GA 30168-5912
Phone 877-516-4818
Authorized official
Kimberly Carr
Owner
8775164818
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All 32 Home Health Agency providers in Austell · All 1,467 providers in Austell
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