Provider Demographics
NPI:1811873961
Name:DIVINE TOUCH HOMECARE
Entity type:Organization
Organization Name:DIVINE TOUCH HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMARO
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEVEALND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-334-5562
Mailing Address - Street 1:213 ROBINHOOD LN
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:LA
Mailing Address - Zip Code:71232-3519
Mailing Address - Country:US
Mailing Address - Phone:318-334-5562
Mailing Address - Fax:
Practice Address - Street 1:1905 MISSION 66 # B-1
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39180-3711
Practice Address - Country:US
Practice Address - Phone:318-334-5562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care