Organization
DIVINE HOME HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GELYS GONGORA (ADMINISTRATOR)
(813) 890-3400
Entity
Organization
Contact information
Practice address
3980 TAMPA RD, SUITE 205H, OLDSMAR, FL 34677-3223
(813) 890-3400
Mailing address
6107 MEMORIAL HWY, SUITE B, TAMPA, FL 33615-4596
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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