Organization
DIVINE PURPOSE WITH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATREESE JACKSON (PRESIDENT OWNER)
(407) 701-8201
Entity
Organization
Contact information
Practice address
2049 AMBER SWEET CIR, DUNDEE, FL 33838-4271
(407) 701-8201
Mailing address
2049 AMBER SWEET CIR, DUNDEE, FL 33838-4271
(407) 701-8201
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/29/2022
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