Organization
DIVINE & CARE HOMESERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSETTA L KOONCE (OWNER)
(850) 447-0088
Entity
Organization
Contact information
Practice address
1980 RAIN VALLEY CT, TALLAHASSEE, FL 32308-4567
(850) 270-2728
Mailing address
1980 RAIN VALLEY CT, TALLAHASSEE, FL 32308-4567
(850) 270-2728
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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