# DIVINE ANGELS SERVICES

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

## Provider details

- **NPI number:** 1790113306
- **Authorized official:** DOMINICA CAMPOS (PRESIDENT)
- **Authorized official phone:** (786) 316-5224

## Contact information

- **Practice address:** 10300 SW 72ND STREET, SUITE 460-7, MIAMI, FL 33173-1828
- **Practice address phone:** (786) 316-5224
- **Practice address fax:** (305) 275-1828
- **Mailing address:** 10300 SW 72ND STREET, SUITE 460-7, MIAMI, FL 33173-1828
- **Mailing address phone:** (786) 316-5224
- **Mailing address fax:** (305) 392-1828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 230135 | FL | Yes |

## Other

- **Enumeration date:** 10/16/2013
- **Last updated:** 07/28/2015