OrganizationActive
Care Divinity Health Services LLC.
NPI 1154174332 · Home Health Agency · Byram, MS
Provider details
- NPI number
- 1154174332
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Valknekah Bullie, Ceo(601) 809-3940
Specialties & taxonomies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Respite Care385H00000X
Respite Care Facility
Practice location
6735 I 55 S Ste 6
Byram, MS 39272-9162
Phone: (601) 809-3940
Approximate (ZIP-level) locationGet directions
Mailing address
6735 I 55 S Ste 6
Byram, MS 39272-9162
Registry dates
- Enumerated
- 2024-04-08
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.