# DIVINE HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1861712408
- **Authorized official:** MR. WILLIE D ESMOND (OWNER)
- **Authorized official phone:** (931) 840-4119

## Contact information

- **Practice address:** 807 NASHVILLE HWY. STE. 10, SUITE 210, COLUMBIA, TN 38401
- **Practice address phone:** (931) 840-4119
- **Practice address fax:** (931) 840-4121
- **Mailing address:** PO BOX 1111 807 NASHVILLE HWY STE 10, STE 10, COLUMBIA, TN 38401
- **Mailing address phone:** (931) 840-4119
- **Mailing address fax:** (931) 840-4121

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2010
- **Last updated:** 04/13/2011