Organization
DIVINE HOME CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATORIA SHONTAY HARRIS RN (DIRECTOR)
(318) 303-3180
Entity
Organization
Contact information
Practice address
1900 HUDSON LN, SUITE H, MONROE, LA 71201
(318) 303-3180
Mailing address
PO BOX 5014, MONROE, LA 71211-5014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN110197
LA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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