Organization
DIVINITYCARES, INCORPORATION
Active
Other names
hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDIWNA HARMON BUSHNELL (CEO)
(337) 990-0122
Entity
Organization
Contact information
Practice address
1202 COMMON ST, LAKE CHARLES, LA 70601-5254
(337) 990-0122
(337) 990-0124
Mailing address
1202 COMMON ST, LAKE CHARLES, LA 70601-5254
(337) 990-0122
(337) 990-0124
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
LA
Other
Enumeration date
10/26/2005
Last updated
07/21/2022
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