Organization
GLORIA DIVINE ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIQUITA MCCLENDON (CEO)
(601) 900-8524
Entity
Organization
Contact information
Practice address
108 COURT SQ, CARTHAGE, MS 39051-4114
(601) 654-2130
Mailing address
108 COURT SQ, CARTHAGE, MS 39051-4114
(601) 900-8524
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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