DIVINE RESIDENTIAL CARE AGENCY, LLC

WINONA, MS
NPI1457775744
Entity TypeOrganization
Authorized ContactDAPHAINE MOORE BLAKES
CEO
901-281-2747
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
Enumeration Date2014-02-07
Last Update Date2014-02-07
Business Address
DIVINE RESIDENTIAL CARE AGENCY, LLC
506 SPEEDWAY AVE
WINONA, MS 38967-1816
Phone number: 901-281-2747
Mailing Address
DIVINE RESIDENTIAL CARE AGENCY, LLC
7061 FOXHALL DR
HORN LAKE, MS 38637-1269
Phone number: 901-281-2747