EMPOWERMENT OF DIVINE PROVIDENCE, INC.; NPI #1295017382

Contact Information

EMPOWERMENT OF DIVINE PROVIDENCE, INC.

3 BIRCHFIELD WAY
DALLAS, GA 30132-0842

Phone: 404-285-8415
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Home Health	251E00000X	A4[11]	Home Health Agency
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Residential Treatment Facility, Physical Disabilities	320700000X

Indicates primary specialty

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NPI Profile & details for EMPOWERMENT OF DIVINE PROVIDENCE, INC.

NPI # 1295017382

LBN Legal business name EMPOWERMENT OF DIVINE PROVIDENCE, INC.

Authorized official CLORISSAL LIU - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/14/2011

Last updated 10/31/2014 - About 12 years ago

Identifiers

License #

CN0030003852

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EMPOWERMENT OF DIVINE PROVIDENCE, INC.

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Home Health

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Residential Treatment Facility, Physical Disabilities

NPI Profile & details for EMPOWERMENT OF DIVINE PROVIDENCE, INC.

Reviews for EMPOWERMENT OF DIVINE PROVIDENCE, INC.