Organization Name: | DIVINE HEALING HOME HEALTH CARE SERVICES LLC |
NPI Number: | 1679814065 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA LASHON MCCARROLL (CEO) |
Mailing Address: | 310 Laurel Tree Ln Simpsonville |
State: | SC US |
Postal Code: | 296815142 |
Phone Number: | 8649870620 |
Fax Number: | 8649870920 |
NPI Enumeration Date: | 03/08/2013 |
NPI Last Update Date: | 11/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |