| NPI | 1861142846 |
|---|---|
| Former Legal Business Name | DIVYNE COMPANION CARE |
| Entity Type | Organization |
| Authorized Contact | ALICIA J. THOMAS Owner 843-319-8642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |