# DIVINE HOME HEALTH CARE, INC

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

## Provider details

- **NPI number:** 1801066071
- **Authorized official:** GELYS L RIOS (PRESIDENT)
- **Authorized official phone:** (813) 810-8650

## Contact information

- **Practice address:** 6107 MEMORIAL HWY STE B, TAMPA, FL 33615-4564
- **Practice address phone:** (813) 890-3400
- **Practice address fax:** (813) 464-8069
- **Mailing address:** 4534B W VILLAGE DR, TAMPA, FL 33624-3429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 02/12/2025