# DIVINE CARE SOURCE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DCS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437912532
- **Authorized official:** CRYSTAL ROBERSON MSW (PRESIDENT)
- **Authorized official phone:** (478) 305-3019

## Contact information

- **Practice address:** 31055 PARROT REEF CT, WESLEY CHAPEL, FL 33545-5149
- **Practice address phone:** (478) 305-3019
- **Mailing address:** 31055 PARROT REEF CT, WESLEY CHAPEL, FL 33545-5149
- **Mailing address phone:** (478) 305-3019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/01/2024
- **Last updated:** 02/01/2024