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Organization

DIVINE INTERVENTION ENTERPRISES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEENA M MOYE LIVINGSTON MH/SUD/IDD QP (OWNER/PROGRAM DIRECTOR)
(336) 988-8844
Entity
Organization

Contact information

Practice address
1400 BATTLEGROUND AVE, GREENSBORO, NC 27408-8042
(336) 988-8844
(336) 285-5674
Mailing address
1400 BATTLEGROUND AVE, GREENSBORO, NC 27408-8042
(336) 988-8844
(336) 285-5674

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
174H00000X
Health Educator
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
251X00000X
Supports Brokerage Agency
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
06/02/2025
Last updated
08/08/2025
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