# DIVINE PROVISION HOME CARE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194590208
- **Authorized official:** LAUREN MURRY (OWNER)
- **Authorized official phone:** (864) 546-8401

## Contact information

- **Practice address:** 1750 JOHN DODD RD, WELLFORD, SC 29385-9744
- **Practice address phone:** (864) 546-8401
- **Mailing address:** 1750 JOHN DODD RD, WELLFORD, SC 29385-9744
- **Mailing address phone:** (864) 546-8401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2023
- **Last updated:** 11/17/2023
