Divine Health And Wellness

LBN: Mallard Creek Learning Center
Divine Health And Wellness is an health care organization with primary practice located at 8136 Browne Rd , Charlotte NC 28269-1101. The organization recently has 10 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Hospice Care, Community Based, Agencies / Nursing Care, Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Agencies / Foster Care Agency, Agencies / In Home Supportive Care. Agencies / Home Health is the primary health care specialty. Mallard Creek Learning Center can be contacted via phone (704) 533-2870, or through Williams, Jacqueline Denise via phone (704) 533-2870.

Contact Information

Primary practice address
8136 Browne Rd Charlotte NC 28269-1101
Phone: (704) 533-2870
Fax: (704) 948-2047
Website:
Map and Directions
Authorized official contact:
Name: Williams, Jacqueline Denise
Phone: (704) 533-2870

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X 60002874 North Carolina
Agencies / Hospice Care, Community Based 251G00000X
Agencies / Nursing Care 251J00000X
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Agencies / Foster Care Agency 253J00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1508246331
LBN Legal business name Mallard Creek Learning Center
DBA Doing business as Divine Health And Wellness
Authorized official Williams, Jacqueline Denise
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 6th, 2015
Last updated Jun 6th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508246331 NPPES
North Carolina Other 60002874 CHILD CARE LICENSE

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