Organization
DEVINE HORIZON INDEPENDENT LIVING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GEORGE RIGGSBEE (DIRECTOR SALES & MARKETING)
(336) 583-9058
Entity
Organization
Contact information
Practice address
129 CRYSTAL VIEW DR, TIMBERLAKE, NC 27583-9781
(336) 583-9058
Mailing address
129 CRYSTAL VIEW DRIVE, TIMBERLAKE, NC 27583-9781
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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