Organization
DIVINE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WESTON (OWNER/PRESIDENT)
(318) 382-1366
Entity
Organization
Contact information
Practice address
201 PINE ST, MINDEN, LA 71055-3213
(318) 382-1366
Mailing address
201 PINE ST, MINDEN, LA 71055-3213
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
15240
LA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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