Divinity Adult Family Home, Llc

LBN: Divinity Adult Family Home, Llc
Divinity Adult Family Home, Llc is an health care organization with primary practice located at 5902 Kansas St , Vancouver WA 98661-6918. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Divinity Adult Family Home, Llc can be contacted via phone (360) 518-9998, or through Jacobs, Amber Lee via phone (360) 518-9998.

Contact Information

Primary practice address
5902 Kansas St Vancouver WA 98661-6918
Phone: (360) 518-9998
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Amber Lee Registered Nurse (RN)
Phone: (360) 518-9998

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X RN60100368 Washington

Profile Details

NPI number 1568862134
LBN Legal business name Divinity Adult Family Home, Llc
DBA Doing business as
Authorized official Jacobs, Amber Lee Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2014
Last updated Sep 2nd, 2014 - about 10 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.

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