Divine Wisdom Adhc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

ADHC 5074 Issued in LA

Legal business name

DIVINE WISDOM ADHC

Practice address

5210 Lapalco Blvd Ste E&F
Marrero, LA 70072-4269

Phone

(504) 508-1225

NPI assigned

Nov 19, 2011

Last updated

Nov 19, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Annie Richardson

Title

Ceo

Phone

(504) 393-8180

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1164799144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 LAPALCO BLVE SUITE E & F",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-508-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 LAPALCO BLVD STE E&F",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724269",
            "telephone_number": "504-508-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE WISDOM ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-393-8180",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADHC 5074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discipleship Consultant Realtions
• Brooke Miner Dismukes, MD
• Lana G. Divens, RN
• Frank C. Divincenti, M.D.
• Divine Impact Case Management LLC
• Brittany Nicole Dixon
• Kimberly Ann Dixon
• Dle Tranasportation LLC
• Diem Duy DO, D.D.S.
• Mai DO, PHARMD

• Developmentally Disabled Services Day Training Agency in Marrero, LA
• Providers in Marrero, LA by specialty
• Developmentally Disabled Services Day Training Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.