Organization
DIVINE HANDS OF CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN EDWARD DARRISAW II (CEO)
(772) 528-6628
Entity
Organization
Contact information
Practice address
4140 WORLINGTON TER, FORT PIERCE, FL 34947-1335
(772) 528-6628
(772) 466-4988
Mailing address
4140 WORLINGTON TER, FORT PIERCE, FL 34947-1335
(772) 528-6628
(772) 466-4988
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
688140896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688140896
—
FL
05
—
688140898
—
FL
Enumeration date
11/05/2007
Last updated
03/17/2017
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