Organization
DIVINE GIFTED HANDS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE DE JESUS (PRESIDENT)
(267) 333-4682
Entity
Organization
Contact information
Practice address
1360 SARNO RD STE A, MELBOURNE, FL 32935-5211
(321) 294-7159
Mailing address
1665 PRINCE CHARLES DR, MELBOURNE, FL 32935-5129
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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