NPI | 1619033149 |
---|---|
Doing Business As | DIVERES HOME SERVICES |
Entity Type | Organization |
Authorized Contact | CHAS L VAN DIVIERE Pres 706-285-2073 |
Organization Subpart ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2006-12-29 |
Last Update Date | 2008-07-23 |