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 |