| Divine Support Services, Llc. | |
|
7001 Woodleaf Pl Jacksonville NC 28546-9533 | |
| (800) 622-1325 | |
| Not Available |
| Full Name | Divine Support Services, Llc. |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 7001 Woodleaf Pl, Jacksonville, North Carolina |
| Authorized Official Name and Position | Rachel Jordan (CEO) |
| Authorized Official Contact | 8006221325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Support Services, Llc. 5116 Western Blvd Apt 523 Jacksonville NC 28546-0014 Ph: (800) 622-1325 | Divine Support Services, Llc. 7001 Woodleaf Pl Jacksonville NC 28546-9533 Ph: (800) 622-1325 |
| NPI Number | 1730901943 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730901943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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