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Organization
DIVINITY ADVANTAGE PERSONAL CARE
Active
Organization
DIVINITY ADVANTAGE PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN K DIVINITY MSW (CO-OWNER/MANAGER)
(601) 885-2360
Entity
Organization
Contact information
Practice address
2387 WORRELL RD, UTICA, MS 39175-9302
(601) 885-2360
Mailing address
2387 WORRELL RD, UTICA, MS 39175-9302
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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