# DIVINE COMFORT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013603372
- **Authorized official:** CHELA FOREMAN (MANAGER)
- **Authorized official phone:** (904) 258-8023

## Contact information

- **Practice address:** 5601 EDENFIELD RD APT 313, JACKSONVILLE, FL 32277-9423
- **Practice address phone:** (904) 258-8023
- **Mailing address:** 5601 EDENFIELD RD APT 313, JACKSONVILLE, FL 32277-9423
- **Mailing address phone:** (904) 258-8023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2023
- **Last updated:** 04/11/2023