# DEVINE ADULT FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1073969317
- **Authorized official:** LOUNA DEVELIS (CEO)
- **Authorized official phone:** (954) 515-2104

## Contact information

- **Practice address:** 7913 SW 3RD ST, NORTH LAUDERDALE, FL 33068-1103
- **Practice address phone:** (954) 515-2104
- **Mailing address:** 7913 SW 3RD ST, NORTH LAUDERDALE, FLORIDA 33319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906841 | FL | Yes |

## Other

- **Enumeration date:** 05/05/2016
- **Last updated:** 05/05/2016