Organization
FELICIA MITCHELL
Active
Other names
DIVINE HOME SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIA DENESE MITCHELL (OWNER)
(904) 476-4171
Entity
Organization
Contact information
Practice address
4911 SEABOARD CT, JACKSONVILLE, FL 32210-7948
(904) 482-7879
Mailing address
4911 SEABOARD CT, JACKSONVILLE, FL 32210-7948
(904) 482-7879
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/07/2010
Last updated
11/07/2010
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