Organization
DIVERSITY NURSING ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANICE DUNKLEY SINCLAIR RN (CO-OWNER)
(843) 707-6630
Entity
Organization
Contact information
Practice address
53 YORK CT, HARDEEVILLE, SC 29927-6651
(843) 707-6630
Mailing address
53 YORK CT, HARDEEVILLE, SC 29927-6651
(843) 707-6630
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942873732
NPPES
—
Enumeration date
12/23/2021
Last updated
12/23/2021
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