Organization
DIVING LOVING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL RICHELLE JOHNSON RN (OWNER)
(863) 397-6322
Entity
Organization
Contact information
Practice address
4325 FABULOUS FINCH LN, BARTOW, FL 33830-3067
(863) 397-6322
Mailing address
4325 FABULOUS FINCH LN, BARTOW, FL 33830-3067
(863) 397-6322
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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