NPI 1013441658

Divine Connection LLC

Organisation Respite Care Greenville, MS

Practice location

Address: 442 Highway 1 S, Greenville, MS 38701-4901
Phone: (662) 219-8409
Mailing address: 213 Stone St, Greenville, MS 38703-3451

Authorised official

Name: Laquanda Watson
Title: Director/Manager
Phone: (662) 219-8409

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence 2002 (MS)

Other Respite Care providers in Mississippi →

Registry record

NPI: 1013441658
Entity type: Organization
NPI issued: 19 Apr 2017
Record last updated: 19 Apr 2017

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.