Provider Demographics
NPI:1689201527
Name:DIVINITY HEALTHCARE SOLUTIONS INC
Entity Type:Organization
Organization Name:DIVINITY HEALTHCARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-578-9829
Mailing Address - Street 1:3500 BRECKINRIDGE BLVD APT 429
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5168
Mailing Address - Country:US
Mailing Address - Phone:404-578-9829
Mailing Address - Fax:
Practice Address - Street 1:3500 BRECKINRIDGE BLVD APT 429
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5168
Practice Address - Country:US
Practice Address - Phone:404-578-9829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty