NPI 1194447300
Divine Pathways LLC
Practice location
- Address
- 428 Enterprise Dr, Somerset, KY 42501-6155
- Phone
- (606) 875-0812
- Mailing address
- 263 Wind Chime Dr, Somerset, KY 42503-3821
Authorised official
- Name
- Shane Hansen
- Title
- Owner/Executive Director
- Phone
- (606) 875-0812
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1194447300
- Entity type
- Organization
- NPI issued
- 14 Sep 2022
- Record last updated
- 14 Sep 2022
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.