OrganizationActive
Divinitycares, Incorporation
NPI 1841280104 · Exclusive Provider Organization · Lake Charles, LA
Provider details
- NPI number
- 1841280104
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Ediwna Bushnell, Ceo(337) 990-0122
Specialties & taxonomies
Managed Care Organizations
Practice location
1202 Common St
Lake Charles, LA 70601-5254
Phone: (337) 990-0122
Fax: (337) 990-0124
Approximate (ZIP-level) locationGet directions
Mailing address
1202 Common St
Lake Charles, LA 70601-5254
Other names (DBA / former)
- Former legal business name
- Hospice
Registry dates
- Enumerated
- 2005-10-26
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.