Organization · Type 2 NPI

Divine Home Care Changes

In Home Supportive Care Agency · Vicksburg, MS

NPI number 1174132476 Active

Practice location

106 Ethel Dr
Vicksburg, MS 39180-8905

Call (919) 339-1854 Map

Mailing address

PO Box 821878
Vicksburg, MS 39182-1878

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
In Home Supportive Care Agency Primary 253Z00000XNone listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1174132476

Divine Home Care Changes's National Provider Identifier is 1174132476, issued on Jul 23, 2020. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Vicksburg, MS. The record was last updated on Oct 7, 2022.