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Organization

DIVINITY ADVANTAGE PERSONAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROLYN K DIVINITY MSW (CO-OWNER/MANAGER)
(601) 885-2360
Entity
Organization

Contact information

Practice address
2387 WORRELL RD, UTICA, MS 39175-9302
(601) 885-2360
Mailing address
2387 WORRELL RD, UTICA, MS 39175-9302

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
06/28/2016
Last updated
06/28/2016
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