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Organization
DIVINE WALK IN HOME CARE
Active
Organization
DIVINE WALK IN HOME CARE
Active
Other names
Divine Walk
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL DEER-WALKER LPN (OWNER)
(601) 996-0455
Entity
Organization
Contact information
Practice address
124 N BROADWAY ST, MCCOMB, MS 39648-3914
(769) 204-3488
Mailing address
PO BOX 1033, MCCOMB, MS 39649-1033
(601) 996-0455
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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