Divine Healthcare LLC
Organization Active NPI Nursing Care Agency · Edwards, MS
NPI 1003150475 · NPPES record last updated Nov 24, 2012
Key facts
- NPI
- 1003150475
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- License
- P318307 (MS)
- Legal business name
- DIVINE HEALTHCARE LLC
- Practice address
- 3840 Middle Rd
Edwards, MS 39066-9691 - Phone
- (601) 896-2449
- NPI assigned
- Nov 24, 2012
- Organization subpart
- No
Authorized official
- Name
- Ms. Nakia Cassell Bennett, LPN
- Title
- Owner
- Phone
- (601) 896-2449
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | P318307 | MS | Yes |
Addresses
Primary practice location
3840 Middle Rd
Edwards, MS 39066-9691
Mailing address
3840 Middle Rd
Edwards, MS 39066-9691
Phone (601) 896-2449
Other providers in Edwards, MS
- Tina Ashley Banks
- Tiara Carroll-Brown
- Central Mississippi Civic Improvement Association, Inc.
- Lane Gibson Clower
- Edwards Dental Clinic Inc
- Foster Legacy Care Services Ms, LLC
- Stacey Foster
- Golden Miles Home Services Inc.
- Angie Griffin
All providers in Edwards, MS · Nursing Care Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.