Organization
DIVINE PURPOSE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEIDRE RENEE MYERS-JEFFCOAT (OWNER)
(803) 348-6498
Entity
Organization
Contact information
Practice address
1101 FIRST STREET SOUTH EXT STE B, COLUMBIA, SC 29209-3559
(803) 348-6498
Mailing address
1101 FIRST STREET SOUTH EXT STE B, COLUMBIA, SC 29209-3559
(803) 348-6498
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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