# DIVINE HEALING HOMECARE LLC

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

## Provider details

- **NPI number:** 1518856756
- **Authorized official:** NICOLE SCOTT (OWNER)
- **Authorized official phone:** (904) 338-7740

## Contact information

- **Practice address:** 1465 MANOTAK POINT DR UNIT 205, JACKSONVILLE, FL 32210-1188
- **Practice address phone:** (904) 338-7740
- **Mailing address:** 1465 MANOTAK POINT DR UNIT 205, JACKSONVILLE, FL 32210-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 07/01/2025
- **Last updated:** 07/01/2025