Divine Healthcare LLC
NPI #1003150475 in Edwards, Mississippi
Provider Information
- NPI Number
- 1003150475
- Entity Type
- Organization
- Organization Name
- Divine Healthcare LLC
- Primary Specialty
- Nursing Care
- Enumeration Date
- Nov 24, 2012
- Last Updated
- Nov 24, 2012
Practice Location
- Address
- 3840 MIDDLE RD
- City
- Edwards
- State
- Mississippi
- ZIP Code
- 39066-9691
- Phone
- (601) 896-2449
Authorized Official
- Name
- MS. NAKIA CASSELL BENNETT, LPN
- Title
- OWNER
- Phone
- (601) 896-2449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
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