# DIVINE CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Divine Care Services LLc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013446475
- **Authorized official:** NATASHA SHANTEL WILLIAMS (CEO)
- **Authorized official phone:** (352) 870-9651

## Contact information

- **Practice address:** 21212 SE 62ND AVE, HAWTHORNE, FL 32640
- **Practice address phone:** (352) 870-9651
- **Mailing address:** 21212 SE 62ND AVE, HAWTHORNE, FL 32640-3527
- **Mailing address phone:** (352) 870-9651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |
| 374U00000X | Home Health Aide | 49023 | FL | — |
| 376J00000X | Homemaker | 232986 | FL | — |

## Other

- **Enumeration date:** 06/08/2017
- **Last updated:** 07/21/2022