| Divine Purpose Services Limited Llc | |
|
810 W Dixon Blvd Ste 2 Shelby NC 28152-5103 | |
| (704) 300-5544 | |
| (704) 270-9504 |
| Full Name | Divine Purpose Services Limited Llc |
|---|---|
| Speciality | Private Vehicle |
| Location | 810 W Dixon Blvd Ste 2, Shelby, North Carolina |
| Authorized Official Name and Position | Brandy N Ussery (OWNER) |
| Authorized Official Contact | 7043005544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Purpose Services Limited Llc 803 N Washington St Ste 1100 Shelby NC 28150-3814 Ph: (043) 005-5447 | Divine Purpose Services Limited Llc 810 W Dixon Blvd Ste 2 Shelby NC 28152-5103 Ph: (704) 300-5544 |
| NPI Number | 1174897391 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174897391 | NPI | - | NPPES |
| 0 | Medicaid | NC | |
| 90050524 | Medicaid | SC |
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