DIVINE PRODIGY LLC
Residential Treatment Facilities at Carmel Ridge Rd, Northside, NC

License number
North Carolina 194
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: MISS NIKKITRA SHYVONNE WILLIAMS
Title: OWNER
Phone: (252) 431-9115
Address
Address
117 Carmel Ridge Rd, Northside, NC 27536
National Provider ID: 1598997959
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DIVINE PRODIGY LLC at bizstanding.com

Divine Prodigy LLC

117 Church St, Northside, NC 27536

Status:
Inactive
Industry:
Home Health Care Services
Member, Owner, Principal:
Nikkitra S. Williams Member, Owner, Principal, inactive

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