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Organization
DIVINE HEALTH SERVICES, LLC
Active
Organization
DIVINE HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE D ESMOND (PARTNER)
(931) 363-3056
Entity
Organization
Contact information
Practice address
807 NASHVILLE HWY, COLUMBIA, TN 38401-2418
(931) 840-4119
(931) 840-4121
Mailing address
PO BOX 1111, COLUMBIA, TN 38402-1111
(931) 840-4119
(931) 840-4121
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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