Organization
DIVINITY HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOSEPH MARTIN (OWNER/MANAGER)
(504) 491-4988
Entity
Organization
Contact information
Practice address
200 E 6TH ST, THIBODAUX, LA 70301-3426
(985) 637-7507
(985) 262-0058
Mailing address
200 E 6TH ST, THIBODAUX, LA 70301-3426
(985) 637-7507
(985) 262-0058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
05/01/2023
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