Divine Care

NPI #1285126193 in Grayson, Georgia

Provider Information

NPI Number: 1285126193
Entity Type: Organization
Organization Name: Divine Care
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 6, 2018
Last Updated: Jun 6, 2018

Practice Location

Address: 2421 WEVOK WAY
City: Grayson
State: Georgia
ZIP Code: 30017-4340
Phone: (167) 843-8529

Authorized Official

Name: MISS CHARLENE RICHARDSON
Title: OWNER
Phone: (167) 843-8529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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