DIVINE HOME CARE CHANGES

VICKSBURG, MS
NPI1174132476
Entity TypeOrganization
Authorized ContactCHASITY DAVIS
CEO
919-339-1854
Organization Subpart ?No
Primary Taxonomy253Z00000X In Home Supportive Care
Additional Taxonomies1041C0700X Social Worker, Clinical
251S00000X Community/Behavioral Health
Enumeration Date2020-07-23
Last Update Date2022-10-07
Business Address
DIVINE HOME CARE CHANGES
106 ETHEL DR
VICKSBURG, MS 39180-8905
Phone number: 919-339-1854
Mailing Address
DIVINE HOME CARE CHANGES
PO BOX 821878
VICKSBURG, MS 39182-1878
Phone number: