Nea Divine Intervention Inc

LBN: Nea Divine Intervention Inc
Nea Divine Intervention Inc is an health care organization with primary practice located at 2504 Fairfield Dr , Jonesboro AR 72401-6474. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Nea Divine Intervention Inc can be contacted via phone (870) 206-4455, or through Mazique-Gilbert, Alexandra via phone (870) 316-0234.

Contact Information

Primary practice address
2504 Fairfield Dr Jonesboro AR 72401-6474
Phone: (870) 206-4455
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mazique-Gilbert, Alexandra
Phone: (870) 316-0234

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1386376754
LBN Legal business name Nea Divine Intervention Inc
DBA Doing business as
Authorized official Mazique-Gilbert, Alexandra
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2022
Last updated Jun 25th, 2022 - about 2 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 1386376754 NPPES
Arkansas MEDICAID 01031991

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