Divine Residential Care Agency, LLC
Divine Residential Care Agency, LLC is an Assisted Living Facility in Winona, Mississippi. Registered with an NPI since 2014.
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
506 Speedway AveWinona, MS 38967-1816
Phone: (901) 281-2747
Fax: (662) 470-5771
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1457775744 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daphaine Moore Blakes — Ceo · (901) 281-2747 |
| NPI enumerated | February 7, 2014 |
| Last updated in NPPES | February 7, 2014 |
| Mailing address | 7061 Foxhall Dr, Horn Lake, MS 38637-1269 |