# DVINE CARE

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

## Provider details

- **NPI number:** 1356676746
- **Authorized official:** MICHAEL EDWARDS (ADMINISTRATOR)
- **Authorized official phone:** (601) 810-5788

## Contact information

- **Practice address:** 2102 TRADEWIND DR, SUITE 172, MESQUITE, TX 75150-3309
- **Practice address phone:** (601) 810-5788
- **Mailing address:** 1017 HANEY RD. SUITE.C, SUMMIT, MS 39666
- **Mailing address phone:** (601) 810-5788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | MS | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2009
- **Last updated:** 01/30/2012