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Organization

DIVINE CONNECTION LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMMESHA C TROUTMAN (OWNER)
(407) 936-4408
Entity
Organization

Contact information

Practice address
1205 S SCOTT AVE, SANFORD, FL 32771-2253
(407) 936-4408
(407) 630-8798
Mailing address
1205 S SCOTT AVE, SANFORD, FL 32771-2253
(407) 936-4408
(407) 360-8798

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
08/28/2014
Last updated
08/28/2014
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