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Organization
DIVINE EXPECTATIONS
Active
Organization
DIVINE EXPECTATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRESS GAINES (OWNER)
(717) 758-5925
Entity
Organization
Contact information
Practice address
9620 SEAVIEW DR, UNIT 101, LEESBURG, FL 34788-8020
(717) 758-5925
Mailing address
9620 SEAVIEW DR, UNIT 101, LEESBURG, FL 34788-8020
(717) 758-5925
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
08/31/2016
Last updated
10/11/2016
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