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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIVINE RESIDENTIAL CARE AGENCY, LLC

Active Organization

DIVINE RESIDENTIAL CARE AGENCY, LLC is a Assisted Living Facility organization located in WINONA, Mississippi. NPI 1457775744 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · WINONA, MS

Registration Details

NPI Number
1457775744
Provider Type
Organization
NPI Issued
Feb 7, 2014 (12.526518995072 yrs)
Last Updated
Feb 7, 2014

Practice Information

Address
506 SPEEDWAY AVE
WINONA, MS, 389671816
Browse MS providers · Browse ZIP 38967
Phone
9012812747
Fax
6624705771
Primary Specialty
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.