Divine Revitalization Management Incorporated

LBN: Divine Revitalization Management Incorporated
Divine Revitalization Management Incorporated is an health care organization with primary practice located at 102 Trailwood Dr , Dudley NC 28333-9466. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Divine Revitalization Management Incorporated can be contacted via phone (919) 330-4601, or through Herring, Rochelle Nicole via phone (919) 396-2586.

Contact Information

Primary practice address
102 Trailwood Dr Dudley NC 28333-9466
Phone: (919) 330-4601
Fax: (919) 330-4601
Website:
Map and Directions
Authorized official contact:
Name: Herring, Rochelle Nicole BS
Phone: (919) 396-2586

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X MHL-096-218 North Carolina

Profile Details

NPI number 1750521027
LBN Legal business name Divine Revitalization Management Incorporated
DBA Doing business as
Authorized official Herring, Rochelle Nicole BS
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2009
Last updated Feb 26th, 2009 - about 17 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.

Request for update

Popular Providers