Organization
DIVINE HUMANITY HOMECARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA ANDREA PARKS RN (OWNER/CEO)
(904) 333-3709
Entity
Organization
Contact information
Practice address
841 PRUDENTIAL DR FL 12, JACKSONVILLE, FL 32207-8874
(904) 333-3709
Mailing address
841 PRUDENTIAL DR FL 12, JACKSONVILLE, FL 32207-8874
(904) 333-3709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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