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Organization

DIVINE CARE SERVICES LLC

Active
Other names
Divine Care Services LLc
Organization subpart
No

Provider details

NPI number
Authorized official
NATASHA SHANTEL WILLIAMS (CEO)
(352) 870-9651
Entity
Organization

Contact information

Practice address
21212 SE 62ND AVE, HAWTHORNE, FL 32640
(352) 870-9651
Mailing address
21212 SE 62ND AVE, HAWTHORNE, FL 32640-3527
(352) 870-9651

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
374U00000X
Home Health Aide
49023
FL
376J00000X
Homemaker
232986
FL

Other

Enumeration date
06/08/2017
Last updated
07/21/2022
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