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Dyvine Care, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mt Holly, North Carolina
NPI 1255053864

Dyvine Care, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Mt Holly, NC. Dyvine Care, Llc practices in Mt Holly, NC. The NPI Number for Dyvine Care, Llc is 1255053864 and holds a License No. (North Carolina).

The current practice location address for Dyvine Care, Llc is 5305 Clearwater Lake Rd, Mt Holly, NC and can be reached out via phone at 646-309-2785.

Location: 5305 Clearwater Lake Rd, Mt Holly, NC, 28120-1445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255053864
Provider Name
Dyvine Care, Llc
Credential
Provider Entity Type
Organization
Address
5305 Clearwater Lake Rd, Mt Holly, NC, 28120-1445
Phone Number
646-309-2785
Fax Number
Provider Enumeration Date
09/12/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5305 Clearwater Lake Rd
City
Mt Holly
State
North Carolina
Zip
28120-1445
Phone Number
646-309-2785
Fax Number
person
Provider Business Mailing Address Details
Address
5305 Clearwater Lake Rd
City
Mt Holly
State
North Carolina
Zip
28120-1445
Phone Number
646-309-2785
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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