# DIVINE NURSE CONSULTANT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DIVINE MANOR ASSISTED LIVING
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932583879
- **Authorized official:** DR. CLIFFORD C AFAM (DIRECTOR)
- **Authorized official phone:** (980) 622-8530

## Contact information

- **Practice address:** 2210 OAK POND RD, ROCK HILL, SC 29730-7958
- **Practice address phone:** (803) 329-4494
- **Practice address fax:** (803) 329-5902
- **Mailing address:** 2210 OAK POND RD, ROCK HILL, SC 29730-7958
- **Mailing address phone:** (803) 329-4494
- **Mailing address fax:** (803) 329-5902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | RC1361 | SC | Yes |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | RC1361 | SC | — |

## Other

- **Enumeration date:** 07/09/2015
- **Last updated:** 01/03/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RC1361 | FACILITY NUMBER | SC |