Organization
DIVINE LIVING WATERS ELDER CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUNYA R FIELDS M.S.W. (FOUNDER)
(850) 210-8899
Entity
Organization
Contact information
Practice address
2607 BRIGHTON RD, TALLAHASSEE, FL 32301-6531
(850) 210-8899
Mailing address
2607 BRIGHTON ROAD, TALLAHASSEE, FL 32305
(850) 210-8899
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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