Organization
DIVINE SUPPORT SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL JORDAN DHA (CEO)
(800) 622-1325
Entity
Organization
Contact information
Practice address
51 PLAZA DR # D-2, JACKSONVILLE, NC 28540-5068
(800) 622-1325
Mailing address
5116 WESTERN BLVD APT 523, JACKSONVILLE, NC 28546-0014
(800) 622-1325
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/29/2024
Last updated
07/18/2025
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