| Divine Care Services, Llc | |
|
500 C Dexter Street Greenville NC 27834-5302 | |
| (252) 215-2273 | |
| Not Available |
| Full Name | Divine Care Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 C Dexter Street, Greenville, North Carolina |
| Authorized Official Name and Position | Jackie Antonio Parker (OWNER) |
| Authorized Official Contact | 2527172169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Care Services, Llc 3709 Live Oak Ln Greenville NC 27858-4152 Ph: (252) 717-2169 | Divine Care Services, Llc 500 C Dexter Street Greenville NC 27834-5302 Ph: (252) 215-2273 |
| NPI Number | 1407087166 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 10/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407087166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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