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Divine Healthcare
Home Health Agency in Jackson, Mississippi
NPI 1205234002

Divine Healthcare is a Home Health Agency based in Jackson, MS. Divine Healthcare practices in Jackson, MS. The NPI Number for Divine Healthcare is 1205234002 and holds a License No. (Mississippi).

The current practice location address for Divine Healthcare is 3856 Noble St Apt 1510, Jackson, MS and can be reached out via phone at 769-216-7185.

Location: 3856 Noble St Apt 1510, Jackson, MS, 39209-4949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205234002
Provider Name
Divine Healthcare
Credential
Provider Entity Type
Organization
Address
3856 Noble St Apt 1510, Jackson, MS, 39209-4949
Phone Number
769-216-7185
Fax Number
Provider Enumeration Date
12/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3856 Noble St Apt 1510
City
Jackson
State
Mississippi
Zip
39209-4949
Phone Number
769-216-7185
Fax Number
person
Provider Business Mailing Address Details
Address
3856 Noble St Apt 1510
City
Jackson
State
Mississippi
Zip
39209-4949
Phone Number
769-216-7185
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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