Organization
DIVINE COMFORT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELA FOREMAN (MANAGER)
(904) 258-8023
Entity
Organization
Contact information
Practice address
5601 EDENFIELD RD APT 313, JACKSONVILLE, FL 32277-9423
(904) 258-8023
Mailing address
5601 EDENFIELD RD APT 313, JACKSONVILLE, FL 32277-9423
(904) 258-8023
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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