Organization
DIVINE RESIDENTIAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MORRIS GARNIO (CEO)
(502) 303-4108
Entity
Organization
Contact information
Practice address
8812 HAGNER DR, LOUISVILLE, KY 40258-1028
(502) 303-4108
Mailing address
8812 HAGNER DR, LOUISVILLE, KY 40258-1028
(502) 303-4108
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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