# DIVINE GIFTED HANDS HOME CARE LLC

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

## Provider details

- **NPI number:** 1164989653
- **Authorized official:** JACQUELINE DE JESUS (PRESIDENT)
- **Authorized official phone:** (267) 333-4682

## Contact information

- **Practice address:** 1360 SARNO RD STE A, MELBOURNE, FL 32935-5211
- **Practice address phone:** (321) 294-7159
- **Mailing address:** 1665 PRINCE CHARLES DR, MELBOURNE, FL 32935-5129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2019
- **Last updated:** 02/21/2019