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Organization
DIVINE LIVING HOME CARE AGENCY
Active
Organization
DIVINE LIVING HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNA WARD GRIFFIN (VICE PRESIDENT)
(910) 625-9775
Entity
Organization
Contact information
Practice address
403 N JK POWELL BLVD, WHITEVILLE, NC 28472-3128
(910) 625-9775
Mailing address
403 N JK POWELL BLVD, WHITEVILLE, NC 28472-3128
(910) 625-9775
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601861
—
NC
Enumeration date
02/28/2009
Last updated
07/19/2010
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