# DIVINE HEALING SENIOR & DISABLED SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Decorkus V Allen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679194237
- **Authorized official:** DECORKUS ALLEN (CEO)
- **Authorized official phone:** (850) 274-7104

## Contact information

- **Practice address:** 8866 HIGH BRIDGE RD, MIDWAY, FL 32343
- **Practice address phone:** (850) 274-7104
- **Mailing address:** 211 GAY ST, HAVANA, FL 32333-1646
- **Mailing address phone:** (850) 274-7104
- **Mailing address fax:** (239) 785-1707

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2020
- **Last updated:** 06/22/2023