Organization
DIVINE HUMANITY HOMECARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA ANDREA PARKS (CEO/OWNER)
(904) 413-6381
Entity
Organization
Contact information
Practice address
841 PRUDENTIAL DR STE 1214, JACKSONVILLE, FL 32207-8329
(904) 371-6586
Mailing address
841 PRUDENTIAL DR STE 1214, JACKSONVILLE, FL 32207-8329
(904) 371-6586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/19/2020
Last updated
05/14/2025
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