| NPI | 1790071058 |
|---|---|
| Former Legal Business Name | N/A |
| Former Legal Business Name | DIVINITY PERSONAL CARE HOME INC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH F BAILEY Owner/CEO 678-939-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2020-06-12 |