Organization
DIVINE VISION SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE LEE GARRETT (DIRECTOR)
(904) 398-7645
Entity
Organization
Contact information
Practice address
1010 E ADAMS ST, 227, JACKSONVILLE, FL 32202-1902
(904) 396-6745
(888) 398-0944
Mailing address
1010 E ADAMS ST, 227, JACKSONVILLE, FL 32202
(904) 396-6745
(888) 398-0944
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1000014359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688070396
—
FL
05
—
688070398
—
FL
Enumeration date
11/02/2010
Last updated
11/02/2010
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