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Organization

DIVINE HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIE D ESMOND (OWNER)
(931) 840-4119
Entity
Organization

Contact information

Practice address
807 NASHVILLE HWY. STE. 10, SUITE 210, COLUMBIA, TN 38401
(931) 840-4119
(931) 840-4121
Mailing address
PO BOX 1111 807 NASHVILLE HWY STE 10, STE 10, COLUMBIA, TN 38401
(931) 840-4119
(931) 840-4121

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
06/06/2010
Last updated
04/13/2011
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