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Organization
DIVINITY HEALTHCARE SERVICES, INC
Active
Organization
DIVINITY HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEREE SUTTON WINSTEAD (CEO)
(252) 235-0404
Entity
Organization
Contact information
Practice address
6193 MAIN ST, BAILEY, NC 27807-0157
(252) 235-0404
Mailing address
6193 MAIN ST., BAILEY, NC 27807
(252) 235-0404
(252) 235-5813
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408862
—
NC
05
—
6601311
—
NC
Enumeration date
02/27/2007
Last updated
08/22/2020
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