Organization
A DEVINE INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALORIE BAKER (PRESIDENT/OWNER)
(727) 430-0218
Entity
Organization
Contact information
Practice address
1516 N 5TH ST UNIT 302C, PHILADELPHIA, PA 19122-3677
(727) 430-0218
(813) 324-9330
Mailing address
301 CHASTAIN RD, SEFFNER, FL 33584-4803
(727) 430-0218
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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