Organization
REZINA E HOLLAND
Active
Other names
Divine Intervention Nursing Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REZINA HOLLAND (OWNER)
(910) 829-1210
Entity
Organization
Contact information
Practice address
128 EAST BROAD STREET, DUNN, NC 28334-3200
(910) 829-1210
Mailing address
128 EAST BROAD STREET, DUNN, NC 28334-3200
(910) 829-1210
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408214
—
NC
05
—
6601126
—
NC
Enumeration date
02/14/2007
Last updated
01/31/2013
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