Organization
DIVINE LIVING HOME CARE AGENCY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNA GRIFFIN (VICE PRESIDENT)
(910) 625-9774
Entity
Organization
Contact information
Practice address
403 N. JK POWELL BLVD., WHITEVILLE, NC 28472-7188
(910) 641-4117
Mailing address
403 N JK POWELL BLVD, WHITEVILLE, NC 28472-3128
(910) 625-9774
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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