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Organization
CARE DIVINITY HEALTH SERVICES LLC.
Active
Organization
CARE DIVINITY HEALTH SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALKNEKAH BULLIE (CEO)
(601) 809-3940
Entity
Organization
Contact information
Practice address
6735 I 55 S STE 6, BYRAM, MS 39272-9162
(601) 809-3940
Mailing address
6735 I 55 S STE 6, BYRAM, MS 39272-9162
(601) 809-3940
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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