Organization
DIVINE SERVICES LLC
Active
Organization
DIVINE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WESTON (OWNER)
(318) 382-1366
Entity
Organization
Contact information
Practice address
201 PINE ST, MINDEN, LA 71055-3213
(318) 382-1366
Mailing address
201 PINE ST, MINDEN, LA 71055-3213
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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