Organization
DIVINITY HEALTHCARE SERVICES
Active
Parent organization
-
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
MRS. EKARA WAFER-MENDENHALL (CEO/ OWNER)
(318) 265-4542
Entity
Organization
Contact information
Practice address
611 W 2ND ST, HOMER, LA 71040-3221
(318) 265-4542
(318) 550-4271
Mailing address
611 W 2ND ST, HOMER, LA 71040-3221
(318) 265-4542
(318) 550-4271
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
12/26/2024
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