Organization
DYVINE CARING AIDEZ LLC
Active
Other names
Dyvine Caring Aidez LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LUEVERSIE GORDEN (PARTNER)
(501) 617-6269
Entity
Organization
Contact information
Practice address
835 CENTRAL AVE STE 410, HOT SPRINGS, AR 71901-5351
(501) 701-4239
Mailing address
835 CENTRAL AVE STE 410, HOT SPRINGS, AR 71901-5351
(501) 701-4239
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281037732
—
AR
05
—
281123757
—
AR
05
—
281226797
—
AR
Enumeration date
05/10/2022
Last updated
05/10/2022
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