Organization
DIVINE FAVOR INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE NMN FLEETWOOD BSW (CEO CASE MANAGER)
(252) 396-1551
Entity
Organization
Contact information
Practice address
1137 VIRGINIA BLVD, MURFREESBORO, NC 27855-1129
(252) 396-1551
Mailing address
1137 VIRGINIA BLVD, P.O, BOX 686, MURFREESBORO, NC 27855-1129
(252) 396-1551
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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