Organization
DIVINE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE M SCOTT (EXECUTIVE ADMINISTRATOR)
(864) 401-3113
Entity
Organization
Contact information
Practice address
309 S CALHOUN ST, GREENVILLE, SC 29601-4007
(864) 401-3113
Mailing address
309 S CALHOUN ST, GREENVILLE, SC 29601-4007
(864) 401-3113
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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