# DIVINITY HOME HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1801224084
- **Authorized official:** DAVID JOSEPH MARTIN (OWNER/MANAGER)
- **Authorized official phone:** (504) 491-4988

## Contact information

- **Practice address:** 200 E 6TH ST, THIBODAUX, LA 70301-3426
- **Practice address phone:** (985) 637-7507
- **Practice address fax:** (985) 262-0058
- **Mailing address:** 200 E 6TH ST, THIBODAUX, LA 70301-3426
- **Mailing address phone:** (985) 637-7507
- **Mailing address fax:** (985) 262-0058

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2013
- **Last updated:** 05/01/2023