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General NPI Number Information
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NPI Number | 1811873961
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Entity Type | Organization
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Legal Business Name | DIVINE TOUCH HOMECARE
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1905 MISSION 66 # B-1
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City | VICKSBURG
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State | MS
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Zip | 39180-3711
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Country | US
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Telephone | 318-334-5562
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Fax |
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Provider Business Mailing Address
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Address Line | 213 ROBINHOOD LN
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City | DELHI
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State | LA
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Zip | 71232-3519
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Country | US
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Telephone | 318-334-5562
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TAMARO CLEVEALND
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Credential |
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Telephone | 318-334-5562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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