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Divine Residential Care Agency, Llc
Assisted Living Facility in Winona, Mississippi
NPI 1457775744

Divine Residential Care Agency, Llc is an Assisted Living Facility based in Horn Lake, MS. Divine Residential Care Agency, Llc practices in Winona, MS. The NPI Number for Divine Residential Care Agency, Llc is 1457775744 and holds a License No. (Mississippi).

The current practice location address for Divine Residential Care Agency, Llc is 506 Speedway Ave, Winona, MS and can be reached out via phone at 901-281-2747 and via fax at 662-470-5771.

Location: 506 Speedway Ave, Winona, MS, 38637-1269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457775744
Provider Name
Divine Residential Care Agency, Llc
Credential
Provider Entity Type
Organization
Address
506 Speedway Ave, Winona, MS, 38637-1269
Phone Number
901-281-2747
Fax Number
662-470-5771
Provider Enumeration Date
02/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
506 Speedway Ave
City
Winona
State
Mississippi
Zip
38967-1816
Phone Number
901-281-2747
Fax Number
662-470-5771
person
Provider Business Mailing Address Details
Address
506 Speedway Ave
City
Winona
State
Mississippi
Zip
38967-1816
Phone Number
901-281-2747
Fax Number
662-470-5771
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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