Divine Manor Assisted Living

LBN: Divine Nurse Consultant
Divine Manor Assisted Living is an health care organization with primary practice located at 2210 Oak Pond Rd , Rock Hill SC 29730-7958. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Divine Nurse Consultant can be contacted via phone (803) 329-4494, or through Afam, Clifford C via phone (980) 622-8530.

Contact Information

Primary practice address
2210 Oak Pond Rd Rock Hill SC 29730-7958
Phone: (803) 329-4494
Fax: (803) 329-5902
Website:
Map and Directions
Authorized official contact:
Name: Afam, Clifford C
Phone: (980) 622-8530

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X RC1361 South Carolina
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X RC1361 South Carolina

Profile Details

NPI number 1932583879
LBN Legal business name Divine Nurse Consultant
DBA Doing business as Divine Manor Assisted Living
Authorized official Afam, Clifford C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2015
Last updated Jan 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932583879 NPPES
South Carolina Other RC1361 FACILITY NUMBER

Popular Providers