Organization
DIVINITY PREMIER HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE M BRUN (CEO)
(407) 780-1920
Entity
Organization
Contact information
Practice address
968 AVENAL LN, DAVENPORT, FL 33837-6717
(407) 780-1920
Mailing address
968 AVENAL LN, DAVENPORT, FL 33837-6717
(407) 780-1920
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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