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Organization
DIVINITY COMMUNITY LIVING, INC.
Active
Organization
DIVINITY COMMUNITY LIVING, INC.
Active
Other names
DCL, Divinity Community Living, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN Y WILLIAMS (CEO)
(601) 462-4513
Entity
Organization
Contact information
Practice address
405 BRIARWOOD DR STE 101B, JACKSON, MS 39206-3029
(769) 572-7111
(769) 572-7327
Mailing address
405 BRIARWOOD DR STE 101B, JACKSON, MS 39206-3029
(769) 572-7111
(769) 572-7327
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/11/2019
Last updated
11/15/2024
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