Divine Care Home
NPI #1427807734 in Kings Mountain, North Carolina
Provider Information
- NPI Number
- 1427807734
- Entity Type
- Organization
- Organization Name
- Divine Care Home
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- May 17, 2024
- Last Updated
- May 17, 2024
Practice Location
- Address
- 429 CROCKER RD
- City
- Kings Mountain
- State
- North Carolina
- ZIP Code
- 28086-4004
- Phone
- (239) 350-8201
Authorized Official
- Name
- WILLANDA CERISIERS, RN
- Title
- ADMINISTRATOR
- Phone
- (239) 350-8201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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