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Organization

DIVINEBYSHA

Active
Other names
Divine Dymond Care Services LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DANISHA PAUL CNA, M.A (CEO)
(407) 360-1287
Entity
Organization

Contact information

Practice address
9955 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-5654
(407) 360-1287
Mailing address
9955 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-5654
(407) 360-1287

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
07/21/2025
Last updated
07/21/2025
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