NPI 1003150475

Divine Healthcare LLC

Organisation Nursing Care Agency Edwards, MS

Practice location

Address: 3840 Middle Rd, Edwards, MS 39066-9691
Phone: (601) 896-2449

Authorised official

Name: Nakia Cassell Bennett
Title: Owner
Phone: (601) 896-2449

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence P318307 (MS)

Other Nursing Care providers in Mississippi →

Registry record

NPI: 1003150475
Entity type: Organization
NPI issued: 24 Nov 2012
Record last updated: 24 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.