Organization · Type 2 NPI

Divine Healthcare

Home Health Agency · Jackson, MS

NPI number 1205234002 Active

Practice location

3856 Noble St Apt 1510
Jackson, MS 39209-4949

Call (769) 216-7185 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1205234002

Divine Healthcare's National Provider Identifier is 1205234002, issued on Dec 9, 2014. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Jackson, MS. The record was last updated on Dec 9, 2014.